Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.66 / $714.66 / $4,338.00	Facility		$714.66	$714.66	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.98 / $767.22 / $1,063.76	Professional		$636.98	$767.22	$1,063.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.29 / $1,362.65 / $1,703.31	Professional		$1,238.29	$1,362.65	$1,703.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.58 / $874.71 / $2,330.15	Facility		$517.58	$874.71	$2,330.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.94 / $1,200.47 / $2,097.77	Professional		$577.94	$1,200.47	$2,097.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,106.28 / $1,543.10 / $2,380.56	Facility		$1,106.28	$1,543.10	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,020.78 / $1,543.10 / $1,826.21	Professional		$1,020.78	$1,543.10	$1,826.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $717.09 / $1,024.41 / $1,458.62	Professional		$717.09	$1,024.41	$1,458.62
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 $762.05 / $1,276.83 / $1,867.40	Professional		$762.05	$1,276.83	$1,867.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,110.80 / $1,359.20 / $1,359.20	Professional		$1,110.80	$1,359.20	$1,359.20