Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.53 / $642.53 / $3,511.00	Facility		$642.53	$642.53	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.72 / $642.53 / $2,043.82	Professional		$596.72	$642.53	$2,043.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.86 / $1,604.17 / $2,005.21	Professional		$1,561.86	$1,604.17	$2,005.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.31 / $1,085.88 / $1,983.37	Facility		$853.31	$1,085.88	$1,983.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $848.46 / $1,414.10 / $5,313.52	Professional		$848.46	$1,414.10	$5,313.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,253.00 / $1,864.20 / $3,079.87	Facility		$1,253.00	$1,864.20	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,283.00 / $1,561.86 / $1,889.16	Professional		$1,283.00	$1,561.86	$1,889.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $885.14 / $1,196.95 / $1,388.25	Professional		$885.14	$1,196.95	$1,388.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.46 / $1,414.10 / $1,984.89	Professional		$848.46	$1,414.10	$1,984.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,352.90 / $1,591.70 / $1,655.40	Professional		$1,352.90	$1,591.70	$1,655.40