Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.66 / $617.66 / $3,511.00	Facility		$617.66	$617.66	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.12 / $617.66 / $1,450.20	Professional		$518.12	$617.66	$1,450.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.13 / $1,389.14 / $1,736.42	Professional		$1,067.13	$1,389.14	$1,736.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.44 / $1,018.12 / $1,624.80	Facility		$810.44	$1,018.12	$1,624.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.75 / $1,264.96 / $6,589.56	Professional		$614.75	$1,264.96	$6,589.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,515.01 / $6,855.77	Facility		$1,089.00	$1,515.01	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $931.29 / $1,287.22 / $1,647.76	Professional		$931.29	$1,287.22	$1,647.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $754.09 / $1,033.33 / $1,196.11	Professional		$754.09	$1,033.33	$1,196.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.75 / $1,129.14 / $1,756.44	Professional		$614.75	$1,129.14	$1,756.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,186.59 / $1,451.80 / $1,451.80	Professional		$1,186.59	$1,451.80	$1,451.80