Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $619.79 / $3,511.00	Facility		$619.79	$619.79	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.64 / $619.79 / $1,491.30	Professional		$522.64	$619.79	$1,491.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.90 / $1,411.73 / $1,764.66	Professional		$1,282.90	$1,411.73	$1,764.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.21 / $1,047.45 / $1,602.70	Facility		$810.21	$1,047.45	$1,602.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.48 / $1,248.79 / $4,609.35	Professional		$590.48	$1,248.79	$4,609.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,528.05 / $8,250.46	Facility		$1,089.00	$1,528.05	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.95 / $1,279.17 / $1,666.59	Professional		$916.95	$1,279.17	$1,666.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $757.10 / $1,045.89 / $1,232.99	Professional		$757.10	$1,045.89	$1,232.99
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 $590.48 / $1,089.56 / $1,694.87	Professional		$590.48	$1,089.56	$1,694.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,223.20 / $1,496.60 / $1,496.60	Professional		$1,223.20	$1,496.60	$1,496.60