Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.70 / $2,390.63 / $2,390.63	Facility		$530.70	$2,390.63	$2,390.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.06 / $530.70 / $1,504.89	Professional		$483.06	$530.70	$1,504.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.46 / $1,213.83 / $1,517.30	Professional		$932.46	$1,213.83	$1,517.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.60 / $872.19 / $1,369.39	Facility		$642.60	$872.19	$1,369.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.44 / $1,081.94 / $4,377.56	Professional		$500.44	$1,081.94	$4,377.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,195.43 / $1,664.46	Facility		$953.00	$1,195.43	$1,664.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $1,089.98 / $1,392.08	Professional		$792.99	$1,089.98	$1,392.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $538.47 / $889.57 / $1,051.21	Professional		$538.47	$889.57	$1,051.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.81 / $1,030.42 / $1,451.63	Professional		$464.81	$1,030.42	$1,451.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,042.80 / $1,276.00 / $1,276.00	Professional		$1,042.80	$1,276.00	$1,276.00