Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.82 / $1,007.82 / $3,511.00	Facility		$1,007.82	$1,007.82	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.95 / $1,007.82 / $1,629.32	Professional		$817.95	$1,007.82	$1,629.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,898.49 / $2,130.06 / $2,662.57	Professional		$1,898.49	$2,130.06	$2,662.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.95 / $1,174.99 / $2,241.17	Facility		$817.95	$1,174.99	$2,241.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $795.45 / $1,528.68 / $2,535.91	Professional		$795.45	$1,528.68	$2,535.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,595.92 / $1,898.40 / $2,777.32	Facility		$1,595.92	$1,898.40	$2,777.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,234.09 / $1,898.25 / $2,487.26	Professional		$1,234.09	$1,898.25	$2,487.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $882.45 / $1,322.47 / $1,773.80	Professional		$882.45	$1,322.47	$1,773.80
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 $878.22 / $1,455.74 / $2,431.30	Professional		$878.22	$1,455.74	$2,431.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,728.70 / $2,115.10 / $2,115.10	Professional		$1,728.70	$2,115.10	$2,115.10