Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.60 / $519.60 / $3,511.00	Facility		$519.60	$519.60	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.41 / $519.60 / $1,146.94	Professional		$441.41	$519.60	$1,146.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.92 / $1,189.69 / $1,487.11	Professional		$1,076.92	$1,189.69	$1,487.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.09 / $877.04 / $1,741.69	Facility		$634.09	$877.04	$1,741.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $1,326.38 / $4,548.79	Professional		$613.07	$1,326.38	$4,548.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,023.21 / $1,346.32 / $8,250.46	Facility		$1,023.21	$1,346.32	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.21 / $1,229.55 / $1,371.53	Professional		$1,023.21	$1,229.55	$1,371.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.24 / $886.85 / $1,103.10	Professional		$645.24	$886.85	$1,103.10
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 $608.39 / $1,033.24 / $1,896.72	Professional		$608.39	$1,033.24	$1,896.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,003.10 / $1,227.30 / $1,227.30	Professional		$1,003.10	$1,227.30	$1,227.30