Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.46 / $614.46 / $3,511.00	Facility		$614.46	$614.46	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.74 / $614.46 / $614.46	Professional		$535.74	$614.46	$614.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.17 / $1,448.35 / $1,810.43	Professional		$1,316.17	$1,448.35	$1,810.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.83 / $960.04 / $1,617.35	Facility		$717.83	$960.04	$1,617.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $597.16 / $1,230.35 / $4,710.00	Professional		$597.16	$1,230.35	$4,710.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $1,357.37 / $1,706.95	Facility		$927.00	$1,357.37	$1,706.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,357.37 / $1,643.83	Professional		$880.00	$1,357.37	$1,643.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $981.12 / $1,253.05	Professional		$647.58	$981.12	$1,253.05
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 $629.49 / $1,207.53 / $1,671.57	Professional		$629.49	$1,207.53	$1,671.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,351.10 / $1,405.10	Professional		$1,148.40	$1,351.10	$1,405.10