Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.35 / $673.35 / $3,511.00	Facility		$673.35	$673.35	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.08 / $673.35 / $2,157.06	Professional		$625.08	$673.35	$2,157.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.09 / $1,678.96 / $2,098.69	Professional		$1,636.09	$1,678.96	$2,098.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $893.86 / $1,137.96 / $2,081.40	Facility		$893.86	$1,137.96	$2,081.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $893.41 / $1,489.02 / $5,588.00	Professional		$893.41	$1,489.02	$5,588.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,329.00 / $1,959.35 / $3,079.87	Facility		$1,329.00	$1,959.35	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,389.20 / $1,636.09 / $1,981.64	Professional		$1,389.20	$1,636.09	$1,981.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $937.16 / $1,248.58 / $1,454.23	Professional		$937.16	$1,248.58	$1,454.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.41 / $1,489.02 / $2,089.30	Professional		$893.41	$1,489.02	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,417.20 / $1,667.30 / $1,734.00	Professional		$1,417.20	$1,667.30	$1,734.00