Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.78 / $908.78 / $4,338.00	Facility		$908.78	$908.78	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.12 / $908.78 / $1,492.37	Professional		$745.12	$908.78	$1,492.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.96 / $1,953.20 / $2,441.50	Professional		$1,774.96	$1,953.20	$2,441.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.12 / $1,135.65 / $2,254.55	Facility		$745.12	$1,135.65	$2,254.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.65 / $1,540.01 / $2,685.15	Professional		$787.65	$1,540.01	$2,685.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,600.54 / $1,987.93 / $3,141.50	Facility		$1,600.54	$1,987.93	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,269.00 / $1,987.93 / $2,262.67	Professional		$1,269.00	$1,987.93	$2,262.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $920.67 / $1,395.10 / $1,641.19	Professional		$920.67	$1,395.10	$1,641.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.28 / $1,540.01 / $2,395.57	Professional		$913.28	$1,540.01	$2,395.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,599.40 / $1,957.00 / $1,957.00	Professional		$1,599.40	$1,957.00	$1,957.00