Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.73 / $751.73 / $3,073.00	Facility		$751.73	$751.73	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $751.73 / $2,279.10	Professional		$677.88	$751.73	$2,279.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.53 / $1,781.02 / $2,226.28	Professional		$1,736.53	$1,781.02	$2,226.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $969.37 / $1,270.42 / $2,119.98	Facility		$969.37	$1,270.42	$2,119.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.14 / $1,575.24 / $7,091.49	Professional		$945.14	$1,575.24	$7,091.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $2,076.02 / $32,845.62	Facility		$1,369.00	$2,076.02	$32,845.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,289.00 / $1,736.53 / $2,100.53	Professional		$1,289.00	$1,736.53	$2,100.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $991.66 / $1,319.96 / $1,543.50	Professional		$991.66	$1,319.96	$1,543.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.09 / $1,422.00 / $2,212.00	Professional		$703.09	$1,422.00	$2,212.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,531.20 / $1,801.40 / $1,873.50	Professional		$1,531.20	$1,801.40	$1,873.50