Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.71 / $689.71 / $4,338.00	Facility		$689.71	$689.71	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.90 / $689.71 / $1,650.38	Professional		$578.90	$689.71	$1,650.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.79 / $1,564.43 / $1,955.54	Professional		$1,201.79	$1,564.43	$1,955.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $896.79 / $1,157.80 / $1,824.64	Facility		$896.79	$1,157.80	$1,824.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $646.23 / $1,432.70 / $6,008.36	Professional		$646.23	$1,432.70	$6,008.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,053.49 / $1,578.83 / $2,135.73	Facility		$1,053.49	$1,578.83	$2,135.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,053.49 / $1,395.76 / $1,851.48	Professional		$1,053.49	$1,395.76	$1,851.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $1,160.40 / $1,362.37	Professional		$851.26	$1,160.40	$1,362.37
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 $747.06 / $1,163.35 / $1,809.67	Professional		$747.06	$1,163.35	$1,809.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,351.50 / $1,653.60 / $1,653.60	Professional		$1,351.50	$1,653.60	$1,653.60