Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.41 / $818.41 / $4,338.00	Facility		$818.41	$818.41	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.42 / $818.41 / $1,977.27	Professional		$689.42	$818.41	$1,977.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.02 / $1,858.93 / $2,323.67	Professional		$1,428.02	$1,858.93	$2,323.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $998.91 / $1,349.86 / $2,150.82	Facility		$998.91	$1,349.86	$2,150.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.93 / $1,680.84 / $6,102.08	Professional		$768.93	$1,680.84	$6,102.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,023.26 / $15,588.16	Facility		$1,392.00	$2,023.26	$15,588.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,237.09 / $1,714.56 / $2,216.67	Professional		$1,237.09	$1,714.56	$2,216.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,019.16 / $1,387.40 / $1,632.13	Professional		$1,019.16	$1,387.40	$1,632.13
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 $755.61 / $1,452.06 / $2,258.76	Professional		$755.61	$1,452.06	$2,258.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,619.10 / $1,981.10 / $1,981.10	Professional		$1,619.10	$1,981.10	$1,981.10