Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.95 / $573.95 / $3,073.00	Facility		$573.95	$573.95	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.94 / $573.95 / $1,376.90	Professional		$483.94	$573.95	$1,376.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.28 / $1,307.33 / $1,634.16	Professional		$1,004.28	$1,307.33	$1,634.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.10 / $968.47 / $1,472.34	Facility		$743.10	$968.47	$1,472.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.64 / $1,132.97 / $4,332.49	Professional		$539.64	$1,132.97	$4,332.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,412.73 / $3,711.03	Facility		$953.00	$1,412.73	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.53 / $1,176.91 / $1,536.38	Professional		$831.53	$1,176.91	$1,536.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.45 / $960.95 / $1,139.19	Professional		$676.45	$960.95	$1,139.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.46 / $1,079.02 / $1,562.23	Professional		$593.46	$1,079.02	$1,562.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,130.09 / $1,382.70 / $1,382.70	Professional		$1,130.09	$1,382.70	$1,382.70