Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.15 / $673.15 / $3,511.00	Facility		$673.15	$673.15	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.66 / $673.15 / $1,619.20	Professional		$567.66	$673.15	$1,619.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.25 / $1,532.49 / $1,915.61	Professional		$1,177.25	$1,532.49	$1,915.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $880.35 / $1,107.96 / $1,747.56	Facility		$880.35	$1,107.96	$1,747.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.86 / $1,368.86 / $5,271.98	Professional		$633.86	$1,368.86	$5,271.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,583.81 / $3,711.03	Facility		$1,089.00	$1,583.81	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,005.11 / $1,294.77 / $1,810.48	Professional		$1,005.11	$1,294.77	$1,810.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $829.37 / $1,137.74 / $1,338.44	Professional		$829.37	$1,137.74	$1,338.44
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 $594.20 / $1,185.61 / $1,844.30	Professional		$594.20	$1,185.61	$1,844.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,327.80 / $1,624.60 / $1,624.60	Professional		$1,327.80	$1,624.60	$1,624.60