Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.45 / $712.45 / $3,511.00	Facility		$712.45	$712.45	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.62 / $712.45 / $1,716.17	Professional		$600.62	$712.45	$1,716.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.88 / $1,620.53 / $2,025.66	Professional		$1,244.88	$1,620.53	$2,025.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.60 / $1,204.04 / $1,856.20	Facility		$932.60	$1,204.04	$1,856.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $1,429.13 / $5,305.04	Professional		$679.22	$1,429.13	$5,305.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,758.78 / $3,711.03	Facility		$1,089.00	$1,758.78	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,051.02 / $1,479.33 / $1,920.70	Professional		$1,051.02	$1,479.33	$1,920.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $865.63 / $1,205.38 / $1,418.00	Professional		$865.63	$1,205.38	$1,418.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $1,257.19 / $1,955.63	Professional		$679.22	$1,257.19	$1,955.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,406.70 / $1,721.20 / $1,721.20	Professional		$1,406.70	$1,721.20	$1,721.20