Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.17 / $658.17 / $3,511.00	Facility		$658.17	$658.17	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $658.17 / $1,183.64	Professional		$555.10	$658.17	$1,183.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.71 / $1,500.55 / $1,875.68	Professional		$1,152.71	$1,500.55	$1,875.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $797.40 / $1,035.54 / $1,705.60	Facility		$797.40	$1,035.54	$1,705.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.76 / $1,326.84 / $4,895.60	Professional		$619.76	$1,326.84	$4,895.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,480.37 / $2,020.28	Facility		$1,089.00	$1,480.37	$2,020.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $974.28 / $1,352.81 / $1,769.50	Professional		$974.28	$1,352.81	$1,769.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $774.60 / $1,113.14 / $1,310.61	Professional		$774.60	$1,113.14	$1,310.61
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 $580.65 / $1,263.66 / $1,800.29	Professional		$580.65	$1,263.66	$1,800.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,300.20 / $1,590.80 / $1,590.80	Professional		$1,300.20	$1,590.80	$1,590.80