Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.69 / $664.69 / $2,290.00	Facility		$664.69	$664.69	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.02 / $664.69 / $1,074.08	Professional		$558.02	$664.69	$1,074.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.13 / $1,491.98 / $1,864.97	Professional		$1,146.13	$1,491.98	$1,864.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.60 / $978.47 / $1,205.92	Facility		$801.60	$978.47	$1,205.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $699.09 / $1,271.08 / $5,012.24	Professional		$699.09	$1,271.08	$5,012.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,237.48 / $1,505.81 / $2,134.67	Facility		$1,237.48	$1,505.81	$2,134.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,363.86 / $1,498.97 / $1,860.59	Professional		$1,363.86	$1,498.97	$1,860.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $814.78 / $1,173.95 / $1,338.44	Professional		$814.78	$1,173.95	$1,338.44
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.62 / $1,175.75 / $1,795.86	Professional		$581.62	$1,175.75	$1,795.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,327.80 / $1,624.60 / $1,624.60	Professional		$1,327.80	$1,624.60	$1,624.60