Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.57 / $701.57 / $3,511.00	Facility		$701.57	$701.57	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.28 / $620.87 / $1,338.68	Professional		$591.28	$620.87	$1,338.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.33 / $1,596.38 / $1,995.47	Professional		$1,226.33	$1,596.38	$1,995.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.33 / $1,155.27 / $1,825.30	Facility		$897.33	$1,155.27	$1,825.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.33 / $1,420.78 / $5,220.80	Professional		$659.33	$1,420.78	$5,220.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,730.83 / $8,250.46	Facility		$1,089.00	$1,730.83	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,044.36 / $1,380.95 / $1,890.63	Professional		$1,044.36	$1,380.95	$1,890.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.87 / $1,186.13 / $1,395.36	Professional		$854.87	$1,186.13	$1,395.36
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 $639.42 / $1,236.98 / $1,924.19	Professional		$639.42	$1,236.98	$1,924.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,384.30 / $1,693.70 / $1,693.70	Professional		$1,384.30	$1,693.70	$1,693.70