Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.95 / $633.95 / $3,073.00	Facility		$633.95	$633.95	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.51 / $633.95 / $1,526.00	Professional		$534.51	$633.95	$1,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.02 / $1,443.67 / $1,804.59	Professional		$1,109.02	$1,443.67	$1,804.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $829.04 / $1,043.41 / $1,496.56	Facility		$829.04	$1,043.41	$1,496.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.01 / $1,216.58 / $4,715.43	Professional		$604.01	$1,216.58	$4,715.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,563.28 / $3,711.03	Facility		$953.00	$1,563.28	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $895.89 / $1,259.05 / $1,705.77	Professional		$895.89	$1,259.05	$1,705.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $714.38 / $982.18 / $1,261.46	Professional		$714.38	$982.18	$1,261.46
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 $604.01 / $1,115.68 / $1,735.50	Professional		$604.01	$1,115.68	$1,735.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,251.40 / $1,531.10 / $1,531.10	Professional		$1,251.40	$1,531.10	$1,531.10