Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.37 / $732.37 / $4,338.00	Facility		$732.37	$732.37	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.15 / $828.88 / $1,256.05	Professional		$682.15	$828.88	$1,256.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,780.92 / $1,793.49 / $2,241.86	Professional		$1,780.92	$1,793.49	$2,241.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.51 / $1,152.83 / $1,869.09	Facility		$800.51	$1,152.83	$1,869.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $924.32 / $1,596.18 / $6,029.68	Professional		$924.32	$1,596.18	$6,029.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,541.06 / $2,156.80 / $8,568.00	Facility		$1,541.06	$2,156.80	$8,568.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,557.98 / $1,860.20 / $2,191.81	Professional		$1,557.98	$1,860.20	$2,191.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $995.11 / $1,388.43 / $1,582.96	Professional		$995.11	$1,388.43	$1,582.96
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 $957.71 / $1,630.42 / $2,251.73	Professional		$957.71	$1,630.42	$2,251.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,542.70 / $1,814.90 / $1,887.50	Professional		$1,542.70	$1,814.90	$1,887.50