Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.40 / $642.40 / $3,511.00	Facility		$642.40	$642.40	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.97 / $703.46 / $1,102.13	Professional		$597.97	$703.46	$1,102.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.56 / $1,570.67 / $1,963.33	Professional		$1,553.56	$1,570.67	$1,963.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.10 / $1,085.66 / $1,953.74	Facility		$855.10	$1,085.66	$1,953.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $1,437.78 / $5,271.20	Professional		$862.67	$1,437.78	$5,271.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,118.11 / $1,749.43 / $2,209.77	Facility		$1,118.11	$1,749.43	$2,209.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,085.00 / $1,554.57 / $1,915.58	Professional		$1,085.00	$1,554.57	$1,915.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.28 / $1,211.97 / $1,381.78	Professional		$816.28	$1,211.97	$1,381.78
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 $862.67 / $1,437.78 / $1,946.70	Professional		$862.67	$1,437.78	$1,946.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,346.60 / $1,584.30 / $1,647.60	Professional		$1,346.60	$1,584.30	$1,647.60