Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.25 / $695.25 / $3,511.00	Facility		$695.25	$695.25	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.85 / $695.25 / $1,314.78	Professional		$585.85	$695.25	$1,314.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.96 / $1,581.57 / $1,976.97	Professional		$1,214.96	$1,581.57	$1,976.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $899.15 / $1,144.77 / $1,808.85	Facility		$899.15	$1,144.77	$1,808.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.71 / $1,325.06 / $5,704.57	Professional		$653.71	$1,325.06	$5,704.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,714.55 / $4,821.75	Facility		$1,089.00	$1,714.55	$4,821.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.07 / $1,369.43 / $1,871.50	Professional		$977.07	$1,369.43	$1,871.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.27 / $1,176.24 / $1,383.72	Professional		$790.27	$1,176.24	$1,383.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.75 / $1,225.86 / $1,906.91	Professional		$614.75	$1,225.86	$1,906.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,372.70 / $1,679.50 / $1,679.50	Professional		$1,372.70	$1,679.50	$1,679.50