Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.88 / $604.88 / $3,511.00	Facility		$604.88	$604.88	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.16 / $604.88 / $1,882.90	Professional		$563.16	$604.88	$1,882.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.25 / $1,518.47 / $1,898.08	Professional		$1,467.25	$1,518.47	$1,898.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.32 / $1,022.25 / $1,851.18	Facility		$805.32	$1,022.25	$1,851.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $1,306.66 / $12,100.00	Professional		$784.00	$1,306.66	$12,100.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,116.00 / $1,732.26 / $34,330.26	Facility		$1,116.00	$1,732.26	$34,330.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,129.00 / $1,467.25 / $1,767.86	Professional		$1,129.00	$1,467.25	$1,767.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $820.82 / $1,108.59 / $1,304.15	Professional		$820.82	$1,108.59	$1,304.15
United Facility/Professional Facility Modifier Low / Median / High Price $7,150.00 / $7,150.00 / $7,150.00	Facility		$7,150.00	$7,150.00	$7,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.48 / $1,184.10 / $1,841.95	Professional		$857.48	$1,184.10	$1,841.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,271.00 / $1,495.30 / $1,555.10	Professional		$1,271.00	$1,495.30	$1,555.10