Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.26 / $756.26 / $3,073.00	Facility		$756.26	$756.26	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $756.26 / $1,824.68	Professional		$638.07	$756.26	$1,824.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.88 / $1,723.37 / $2,154.21	Professional		$1,323.88	$1,723.37	$2,154.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $884.12 / $1,163.30 / $1,971.95	Facility		$884.12	$1,163.30	$1,971.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.02 / $1,544.82 / $5,633.68	Professional		$712.02	$1,544.82	$5,633.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,134.79 / $1,867.69 / $11,049.44	Facility		$1,134.79	$1,867.69	$11,049.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $934.00 / $1,572.12 / $2,039.09	Professional		$934.00	$1,572.12	$2,039.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.73 / $1,281.82 / $1,507.92	Professional		$816.73	$1,281.82	$1,507.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.36 / $1,152.42 / $2,077.21	Professional		$669.36	$1,152.42	$2,077.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,495.90 / $1,830.30 / $1,830.30	Professional		$1,495.90	$1,830.30	$1,830.30