Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.50 / $753.50 / $3,511.00	Facility		$753.50	$753.50	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.54 / $753.50 / $1,650.00	Professional		$635.54	$753.50	$1,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.90 / $1,715.58 / $2,144.46	Professional		$1,317.90	$1,715.58	$2,144.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $949.16 / $1,262.44 / $1,965.69	Facility		$949.16	$1,262.44	$1,965.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.64 / $1,530.10 / $6,386.47	Professional		$712.64	$1,530.10	$6,386.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,124.77 / $1,861.12 / $11,146.26	Facility		$1,124.77	$1,861.12	$11,146.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,124.77 / $1,567.16 / $2,032.69	Professional		$1,124.77	$1,567.16	$2,032.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $925.93 / $1,276.86 / $1,502.10	Professional		$925.93	$1,276.86	$1,502.10
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 $801.48 / $1,530.10 / $2,070.88	Professional		$801.48	$1,530.10	$2,070.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,490.10 / $1,823.20 / $1,823.20	Professional		$1,490.10	$1,823.20	$1,823.20