Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.40 / $607.40 / $3,073.00	Facility		$607.40	$607.40	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.26 / $607.40 / $654.54	Professional		$550.26	$607.40	$654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.04 / $1,455.36 / $1,819.20	Professional		$1,058.04	$1,455.36	$1,819.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.37 / $1,081.27 / $1,695.94	Facility		$656.37	$1,081.27	$1,695.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $702.88 / $1,171.46 / $4,871.35	Professional		$702.88	$1,171.46	$4,871.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $915.15 / $1,614.59 / $3,960.15	Facility		$915.15	$1,614.59	$3,960.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $955.00 / $1,390.66 / $1,806.29	Professional		$955.00	$1,390.66	$1,806.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $757.72 / $1,024.63 / $1,316.44	Professional		$757.72	$1,024.63	$1,316.44
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 $698.69 / $1,171.46 / $1,802.58	Professional		$698.69	$1,171.46	$1,802.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,306.00 / $1,597.90 / $1,597.90	Professional		$1,306.00	$1,597.90	$1,597.90