Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $691.89 / $4,338.00	Facility		$691.89	$691.89	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.35 / $691.89 / $749.61	Professional		$627.35	$691.89	$749.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.86 / $1,658.70 / $2,073.38	Professional		$1,205.86	$1,658.70	$2,073.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.86 / $1,254.70 / $2,116.05	Facility		$749.86	$1,254.70	$2,116.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $865.69 / $1,462.64 / $8,379.35	Professional		$865.69	$1,462.64	$8,379.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,711.50 / $2,388.09	Facility		$1,137.85	$1,711.50	$2,388.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,692.14 / $2,060.90	Professional		$1,130.00	$1,692.14	$2,060.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $949.50 / $1,283.98 / $1,504.04	Professional		$949.50	$1,283.98	$1,504.04
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 $865.69 / $1,462.64 / $2,064.02	Professional		$865.69	$1,462.64	$2,064.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,492.10 / $1,825.60 / $1,825.60	Professional		$1,492.10	$1,825.60	$1,825.60