Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $643.10 / $643.10	Facility		$643.10	$643.10	$643.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.60 / $643.10 / $2,045.77	Professional		$597.60	$643.10	$2,045.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.58 / $1,605.73 / $2,007.16	Professional		$1,562.58	$1,605.73	$2,007.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $854.57 / $1,086.83 / $1,984.40	Facility		$854.57	$1,086.83	$1,984.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $857.94 / $1,429.90 / $5,320.08	Professional		$857.94	$1,429.90	$5,320.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $1,865.99 / $3,103.79	Facility		$1,240.00	$1,865.99	$3,103.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,562.58 / $1,890.36	Professional		$1,208.00	$1,562.58	$1,890.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $889.58 / $1,183.60 / $1,388.89	Professional		$889.58	$1,183.60	$1,388.89
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 $857.94 / $1,420.72 / $1,985.90	Professional		$857.94	$1,420.72	$1,985.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,353.60 / $1,592.40 / $1,656.10	Professional		$1,353.60	$1,592.40	$1,656.10