Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.97 / $692.97 / $3,511.00	Facility		$692.97	$692.97	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.97 / $787.80 / $973.03	Professional		$692.97	$787.80	$973.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.82 / $1,728.82 / $2,161.03	Professional		$1,723.82	$1,728.82	$2,161.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $926.08 / $1,171.11 / $2,057.10	Facility		$926.08	$1,171.11	$2,057.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.26 / $1,568.32 / $5,890.96	Professional		$902.26	$1,568.32	$5,890.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,170.76 / $1,951.27 / $2,537.21	Facility		$1,170.76	$1,951.27	$2,537.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.00 / $1,766.92 / $2,211.02	Professional		$1,230.00	$1,766.92	$2,211.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $987.68 / $1,357.15 / $1,596.55	Professional		$987.68	$1,357.15	$1,596.55
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 $827.07 / $1,503.76 / $2,150.79	Professional		$827.07	$1,503.76	$2,150.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,555.90 / $1,830.50 / $1,903.70	Professional		$1,555.90	$1,830.50	$1,903.70