Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.67 / $656.67 / $4,338.00	Facility		$656.67	$656.67	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $656.67 / $2,049.92	Professional		$611.66	$656.67	$2,049.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.24 / $1,607.28 / $2,009.10	Professional		$1,598.24	$1,607.28	$2,009.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $874.69 / $1,109.77 / $1,936.33	Facility		$874.69	$1,109.77	$1,936.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $857.56 / $1,429.26 / $7,167.45	Professional		$857.56	$1,429.26	$7,167.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,298.00 / $1,940.49 / $5,090.60	Facility		$1,298.00	$1,940.49	$5,090.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,598.24 / $1,968.43	Professional		$1,293.00	$1,598.24	$1,968.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $895.21 / $1,210.30 / $1,420.59	Professional		$895.21	$1,210.30	$1,420.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.56 / $1,301.40 / $2,024.40	Professional		$857.56	$1,301.40	$2,024.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,384.50 / $1,628.80 / $1,693.90	Professional		$1,384.50	$1,628.80	$1,693.90