Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.49 / $683.49 / $3,073.00	Facility		$683.49	$683.49	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.75 / $683.49 / $1,678.20	Professional		$580.75	$683.49	$1,678.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.55 / $1,586.25 / $1,982.81	Professional		$1,218.55	$1,586.25	$1,982.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.25 / $1,155.09 / $1,804.02	Facility		$834.25	$1,155.09	$1,804.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.33 / $1,427.03 / $5,185.35	Professional		$655.33	$1,427.03	$5,185.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,286.63 / $1,849.84 / $3,711.03	Facility		$1,286.63	$1,849.84	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.40 / $1,447.20 / $1,876.98	Professional		$1,048.40	$1,447.20	$1,876.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $804.08 / $1,163.86 / $1,386.95	Professional		$804.08	$1,163.86	$1,386.95
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 $645.39 / $1,226.52 / $1,907.92	Professional		$645.39	$1,226.52	$1,907.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,375.90 / $1,683.50 / $1,683.50	Professional		$1,375.90	$1,683.50	$1,683.50