Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.05 / $602.05 / $3,073.00	Facility		$602.05	$602.05	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.09 / $602.05 / $1,814.76	Professional		$543.09	$602.05	$1,814.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.10 / $1,428.09 / $1,785.11	Professional		$1,390.10	$1,428.09	$1,785.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.62 / $1,017.48 / $1,683.84	Facility		$776.62	$1,017.48	$1,683.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $753.14 / $1,255.24 / $5,631.92	Professional		$753.14	$1,255.24	$5,631.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,097.00 / $1,655.97 / $4,555.17	Facility		$1,097.00	$1,655.97	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,068.00 / $1,390.10 / $1,678.99	Professional		$1,068.00	$1,390.10	$1,678.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.68 / $1,050.31 / $1,235.58	Professional		$789.68	$1,050.31	$1,235.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $10,167.24	Facility		$2,714.00	$2,714.00	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $753.14 / $1,261.59 / $1,762.32	Professional		$753.14	$1,261.59	$1,762.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,442.10 / $1,499.70	Professional		$1,225.70	$1,442.10	$1,499.70