Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.60 / $746.60 / $3,511.00	Facility		$746.60	$746.60	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.10 / $746.60 / $1,801.30	Professional		$629.10	$746.60	$1,801.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.13 / $1,697.66 / $2,122.07	Professional		$1,304.13	$1,697.66	$2,122.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.02 / $1,258.20 / $1,950.80	Facility		$978.02	$1,258.20	$1,950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.00 / $1,525.38 / $5,560.32	Professional		$721.00	$1,525.38	$5,560.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,121.49 / $1,843.46 / $8,250.46	Facility		$1,121.49	$1,843.46	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,121.49 / $1,553.87 / $2,015.39	Professional		$1,121.49	$1,553.87	$2,015.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $925.48 / $1,264.77 / $1,487.87	Professional		$925.48	$1,264.77	$1,487.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.00 / $1,343.78 / $2,052.67	Professional		$721.00	$1,343.78	$2,052.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,476.00 / $1,806.00 / $1,806.00	Professional		$1,476.00	$1,806.00	$1,806.00