Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.83 / $646.83 / $3,511.00	Facility		$646.83	$646.83	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.75 / $646.83 / $1,952.39	Professional		$601.75	$646.83	$1,952.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.76 / $1,580.79 / $1,975.99	Professional		$1,564.76	$1,580.79	$1,975.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $860.50 / $1,093.14 / $1,879.76	Facility		$860.50	$1,093.14	$1,879.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $856.16 / $1,426.94 / $5,306.72	Professional		$856.16	$1,426.94	$5,306.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,110.82 / $1,761.30 / $2,224.37	Facility		$1,110.82	$1,761.30	$2,224.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,564.76 / $1,929.99	Professional		$1,105.00	$1,564.76	$1,929.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $838.68 / $1,182.29 / $1,390.84	Professional		$838.68	$1,182.29	$1,390.84
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 $856.16 / $1,426.94 / $1,961.96	Professional		$856.16	$1,426.94	$1,961.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,355.50 / $1,594.70 / $1,658.40	Professional		$1,355.50	$1,594.70	$1,658.40