Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.35 / $636.35 / $4,338.00	Facility		$636.35	$636.35	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.34 / $636.35 / $1,248.35	Professional		$527.34	$636.35	$1,248.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.42 / $1,442.89 / $1,803.62	Professional		$1,108.42	$1,442.89	$1,803.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.26 / $1,059.48 / $1,774.66	Facility		$834.26	$1,059.48	$1,774.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $1,405.34 / $5,563.75	Professional		$642.21	$1,405.34	$5,563.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,030.08 / $1,507.91 / $1,931.33	Facility		$1,030.08	$1,507.91	$1,931.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,030.08 / $1,352.57 / $1,693.40	Professional		$1,030.08	$1,352.57	$1,693.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.28 / $1,087.71 / $1,240.10	Professional		$789.28	$1,087.71	$1,240.10
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 $736.13 / $1,152.14 / $1,792.22	Professional		$736.13	$1,152.14	$1,792.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.20 / $1,505.20 / $1,505.20	Professional		$1,230.20	$1,505.20	$1,505.20