Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.11 / $771.11 / $3,073.00	Facility		$771.11	$771.11	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.35 / $771.11 / $1,899.05	Professional		$655.35	$771.11	$1,899.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.56 / $1,788.03 / $2,235.04	Professional		$1,373.56	$1,788.03	$2,235.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.41 / $1,303.18 / $2,056.34	Facility		$941.41	$1,303.18	$2,056.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.30 / $1,609.00 / $5,862.96	Professional		$739.30	$1,609.00	$5,862.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,453.95 / $2,097.55 / $3,711.03	Facility		$1,453.95	$2,097.55	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,183.72 / $1,644.96 / $2,128.32	Professional		$1,183.72	$1,644.96	$2,128.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $928.43 / $1,332.96 / $1,568.09	Professional		$928.43	$1,332.96	$1,568.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $6,489.22	Facility		$3,143.00	$3,143.00	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $731.34 / $1,391.38 / $2,164.37	Professional		$731.34	$1,391.38	$2,164.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,555.60 / $1,903.30 / $1,903.30	Professional		$1,555.60	$1,903.30	$1,903.30