Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.29 / $631.29 / $3,073.00	Facility		$631.29	$631.29	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.92 / $631.29 / $1,521.70	Professional		$532.92	$631.29	$1,521.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.23 / $1,441.34 / $1,801.67	Professional		$1,107.23	$1,441.34	$1,801.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.55 / $1,010.71 / $1,649.90	Facility		$765.55	$1,010.71	$1,649.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $1,286.04 / $4,852.00	Professional		$558.00	$1,286.04	$4,852.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,433.30 / $1,969.98	Facility		$953.00	$1,433.30	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,312.94 / $1,697.57	Professional		$813.00	$1,312.94	$1,697.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.21 / $1,069.56 / $1,258.22	Professional		$645.21	$1,069.56	$1,258.22
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 $558.00 / $1,114.31 / $1,733.37	Professional		$558.00	$1,114.31	$1,733.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,248.20 / $1,527.20 / $1,527.20	Professional		$1,248.20	$1,527.20	$1,527.20