Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.46 / $625.46 / $3,073.00	Facility		$625.46	$625.46	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $625.46 / $625.46	Professional		$546.04	$625.46	$625.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.78 / $1,478.73 / $1,848.41	Professional		$1,343.78	$1,478.73	$1,848.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.93 / $959.40 / $1,647.40	Facility		$709.93	$959.40	$1,647.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $609.75 / $1,270.60 / $4,801.92	Professional		$609.75	$1,270.60	$4,801.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $931.00 / $1,551.53 / $2,197.38	Facility		$931.00	$1,551.53	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $856.00 / $1,349.55 / $1,724.90	Professional		$856.00	$1,349.55	$1,724.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $701.51 / $964.49 / $1,280.22	Professional		$701.51	$964.49	$1,280.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.42 / $1,118.72 / $1,780.52	Professional		$568.42	$1,118.72	$1,780.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,173.30 / $1,380.40 / $1,435.60	Professional		$1,173.30	$1,380.40	$1,435.60