Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.20 / $687.20 / $3,511.00	Facility		$687.20	$687.20	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.62 / $687.20 / $783.94	Professional		$636.62	$687.20	$783.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.84 / $1,428.09 / $1,785.11	Professional		$1,346.84	$1,428.09	$1,785.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.26 / $1,095.58 / $1,682.12	Facility		$818.26	$1,095.58	$1,682.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $672.86 / $1,263.88 / $5,296.80	Professional		$672.86	$1,263.88	$5,296.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $1,580.28 / $4,514.33	Facility		$1,023.00	$1,580.28	$4,514.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,043.00 / $1,448.33 / $1,764.25	Professional		$1,043.00	$1,448.33	$1,764.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $802.76 / $1,094.30 / $1,287.33	Professional		$802.76	$1,094.30	$1,287.33
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 $672.86 / $1,317.52 / $1,759.63	Professional		$672.86	$1,317.52	$1,759.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,327.80 / $1,562.10 / $1,624.60	Professional		$1,327.80	$1,562.10	$1,624.60