Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.41 / $603.41 / $3,511.00	Facility		$603.41	$603.41	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.41 / $603.41 / $1,818.70	Professional		$544.41	$603.41	$1,818.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.00 / $1,431.21 / $1,789.01	Professional		$1,393.00	$1,431.21	$1,789.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.51 / $1,019.76 / $1,687.73	Facility		$778.51	$1,019.76	$1,687.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.71 / $1,259.52 / $5,405.71	Professional		$755.71	$1,259.52	$5,405.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $1,659.54 / $4,555.17	Facility		$1,088.00	$1,659.54	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,393.00 / $1,682.59	Professional		$1,065.00	$1,393.00	$1,682.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $777.88 / $1,052.51 / $1,238.17	Professional		$777.88	$1,052.51	$1,238.17
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 $755.71 / $1,259.52 / $1,766.38	Professional		$755.71	$1,259.52	$1,766.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,228.30 / $1,445.10 / $1,502.90	Professional		$1,228.30	$1,445.10	$1,502.90