Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.17 / $650.17 / $3,073.00	Facility		$650.17	$650.17	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.84 / $650.17 / $1,038.08	Professional		$546.84	$650.17	$1,038.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.76 / $1,473.28 / $1,841.60	Professional		$1,131.76	$1,473.28	$1,841.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.54 / $1,049.22 / $1,717.57	Facility		$785.54	$1,049.22	$1,717.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $700.37 / $1,337.07 / $4,866.00	Professional		$700.37	$1,337.07	$4,866.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.75 / $1,754.69 / $2,824.47	Facility		$1,202.75	$1,754.69	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $917.04 / $1,371.21 / $1,754.69	Professional		$917.04	$1,371.21	$1,754.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.59 / $1,114.65 / $1,311.27	Professional		$818.59	$1,114.65	$1,311.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.37 / $1,177.90 / $1,799.56	Professional		$700.37	$1,177.90	$1,799.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,300.80 / $1,591.60 / $1,591.60	Professional		$1,300.80	$1,591.60	$1,591.60