Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Facility		$683.00	$683.00	$683.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.64 / $683.00 / $1,119.44	Professional		$560.64	$683.00	$1,119.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.24 / $1,474.84 / $1,843.55	Professional		$1,340.24	$1,474.84	$1,843.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.64 / $851.98 / $1,698.62	Facility		$560.64	$851.98	$1,698.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.79 / $1,157.72 / $2,029.18	Professional		$591.79	$1,157.72	$2,029.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.50 / $1,494.37 / $2,380.56	Facility		$1,202.50	$1,494.37	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,496.46 / $1,699.40	Professional		$891.00	$1,496.46	$1,699.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $694.39 / $1,053.06 / $1,238.81	Professional		$694.39	$1,053.06	$1,238.81
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 $673.64 / $1,165.93 / $1,800.90	Professional		$673.64	$1,165.93	$1,800.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,207.30 / $1,477.20 / $1,477.20	Professional		$1,207.30	$1,477.20	$1,477.20