Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $4,365.16	Facility		$562.34	$562.34	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $1,000.00	Professional		$512.86	$562.34	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,659.59	Professional		$1,000.00	$1,318.26	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,412.54	Facility		$676.08	$933.25	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $4,168.69	Professional		$489.78	$912.01	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,258.93	Professional		$1,148.15	$1,258.93	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,122.02	Professional		$588.84	$912.01	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,513.56	Professional		$588.84	$1,000.00	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,348.96	Professional		$1,122.02	$1,318.26	$1,348.96