Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.66 / $618.66 / $3,073.00	Facility		$618.66	$618.66	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $615.21 / $974.43	Professional		$522.08	$615.21	$974.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.08 / $1,412.51 / $1,765.64	Professional		$1,085.08	$1,412.51	$1,765.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.37 / $1,017.08 / $1,593.67	Facility		$765.37	$1,017.08	$1,593.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.97 / $1,251.08 / $4,597.92	Professional		$582.97	$1,251.08	$4,597.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,141.60 / $1,634.40 / $3,711.03	Facility		$1,141.60	$1,634.40	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $917.34 / $1,271.13 / $1,658.39	Professional		$917.34	$1,271.13	$1,658.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $662.47 / $1,039.99 / $1,231.05	Professional		$662.47	$1,039.99	$1,231.05
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 $573.77 / $1,084.72 / $1,687.34	Professional		$573.77	$1,084.72	$1,687.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,221.30 / $1,494.20 / $1,494.20	Professional		$1,221.30	$1,494.20	$1,494.20