Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.95 / $716.95 / $4,338.00	Facility		$716.95	$716.95	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.07 / $716.95 / $1,727.55	Professional		$604.07	$716.95	$1,727.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.83 / $1,629.88 / $2,037.35	Professional		$1,225.83	$1,629.88	$2,037.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.98 / $1,181.23 / $1,578.86	Facility		$938.98	$1,181.23	$1,578.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.22 / $1,463.91 / $5,338.00	Professional		$716.22	$1,463.91	$5,338.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,076.09 / $1,602.72 / $2,231.65	Facility		$1,076.09	$1,602.72	$2,231.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,076.09 / $1,394.07 / $1,933.44	Professional		$1,076.09	$1,394.07	$1,933.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $734.67 / $1,063.95 / $1,427.06	Professional		$734.67	$1,063.95	$1,427.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.22 / $1,289.64 / $1,969.88	Professional		$716.22	$1,289.64	$1,969.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,415.70 / $1,732.20 / $1,732.20	Professional		$1,415.70	$1,732.20	$1,732.20