Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.54 / $654.54 / $4,338.00	Facility		$654.54	$654.54	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.94 / $654.54 / $1,542.18	Professional		$544.94	$654.54	$1,542.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.14 / $1,484.19 / $1,855.23	Professional		$1,140.14	$1,484.19	$1,855.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.65 / $1,089.88 / $1,702.09	Facility		$844.65	$1,089.88	$1,702.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $1,343.48 / $6,294.01	Professional		$611.66	$1,343.48	$6,294.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,197.56 / $1,687.38 / $6,855.77	Facility		$1,197.56	$1,687.38	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $988.44 / $1,333.88 / $1,712.13	Professional		$988.44	$1,333.88	$1,712.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $787.19 / $1,081.65 / $1,272.45	Professional		$787.19	$1,081.65	$1,272.45
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 $604.01 / $1,152.85 / $1,793.34	Professional		$604.01	$1,152.85	$1,793.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,262.30 / $1,544.50 / $1,544.50	Professional		$1,262.30	$1,544.50	$1,544.50