Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.37 / $641.37 / $4,338.00	Facility		$641.37	$641.37	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.64 / $641.37 / $1,192.52	Professional		$540.64	$641.37	$1,192.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.99 / $1,459.25 / $1,824.07	Professional		$1,120.99	$1,459.25	$1,824.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $839.34 / $1,081.28 / $1,664.82	Facility		$839.34	$1,081.28	$1,664.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.35 / $1,302.58 / $4,773.12	Professional		$616.35	$1,302.58	$4,773.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,184.33 / $1,582.44 / $21,908.02	Facility		$1,184.33	$1,582.44	$21,908.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $957.10 / $1,327.40 / $1,730.35	Professional		$957.10	$1,327.40	$1,730.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.41 / $1,085.50 / $1,276.98	Professional		$789.41	$1,085.50	$1,276.98
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 $616.35 / $1,129.81 / $1,757.48	Professional		$616.35	$1,129.81	$1,757.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,266.80 / $1,550.00 / $1,550.00	Professional		$1,266.80	$1,550.00	$1,550.00