Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.98 / $715.98 / $3,073.00	Facility		$715.98	$715.98	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.78 / $715.98 / $1,786.50	Professional		$618.78	$715.98	$1,786.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.54 / $1,692.98 / $2,116.23	Professional		$1,300.54	$1,692.98	$2,116.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,210.01 / $1,936.96	Facility		$900.00	$1,210.01	$1,936.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.87 / $1,529.37 / $5,536.08	Professional		$705.87	$1,529.37	$5,536.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.49 / $1,836.51 / $7,260.61	Facility		$1,127.49	$1,836.51	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,127.49 / $1,543.20 / $1,980.43	Professional		$1,127.49	$1,543.20	$1,980.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.68 / $1,251.18 / $1,472.99	Professional		$854.68	$1,251.18	$1,472.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.10 / $1,310.04 / $2,037.84	Professional		$801.10	$1,310.04	$2,037.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,461.30 / $1,787.90 / $1,787.90	Professional		$1,461.30	$1,787.90	$1,787.90