Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.80 / $724.80 / $3,511.00	Facility		$724.80	$724.80	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.48 / $724.80 / $2,193.59	Professional		$653.48	$724.80	$2,193.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,673.21 / $1,717.92 / $2,147.39	Professional		$1,673.21	$1,717.92	$2,147.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.48 / $1,224.91 / $2,038.13	Facility		$934.48	$1,224.91	$2,038.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.24 / $1,537.06 / $6,219.71	Professional		$922.24	$1,537.06	$6,219.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,200.50 / $1,890.73 / $2,329.67	Facility		$1,200.50	$1,890.73	$2,329.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,256.00 / $1,673.21 / $2,024.87	Professional		$1,256.00	$1,673.21	$2,024.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.89 / $1,270.06 / $1,487.22	Professional		$954.89	$1,270.06	$1,487.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.24 / $1,368.29 / $2,128.44	Professional		$922.24	$1,368.29	$2,128.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,475.40 / $1,735.70 / $1,805.20	Professional		$1,475.40	$1,735.70	$1,805.20