Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.16 / $575.16 / $3,511.00	Facility		$575.16	$575.16	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.64 / $520.01 / $980.86	Professional		$484.64	$520.01	$980.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.08 / $1,309.67 / $1,637.08	Professional		$1,006.08	$1,309.67	$1,637.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $751.19 / $972.04 / $1,481.63	Facility		$751.19	$972.04	$1,481.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.72 / $1,156.66 / $4,270.39	Professional		$546.72	$1,156.66	$4,270.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,060.11 / $1,415.60 / $3,711.03	Facility		$1,060.11	$1,415.60	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $848.83 / $1,180.55 / $1,541.83	Professional		$848.83	$1,180.55	$1,541.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $696.38 / $966.85 / $1,141.78	Professional		$696.38	$966.85	$1,141.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.87 / $1,008.02 / $1,568.03	Professional		$605.87	$1,008.02	$1,568.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,132.70 / $1,385.90 / $1,385.90	Professional		$1,132.70	$1,385.90	$1,385.90