Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.55 / $583.55 / $3,511.00	Facility		$583.55	$583.55	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.94 / $583.55 / $915.00	Professional		$494.94	$583.55	$915.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.01 / $1,344.73 / $1,680.91	Professional		$1,033.01	$1,344.73	$1,680.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.91 / $961.64 / $1,497.18	Facility		$739.91	$961.64	$1,497.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $553.77 / $1,181.40 / $4,338.47	Professional		$553.77	$1,181.40	$4,338.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,080.85 / $1,438.47 / $3,711.03	Facility		$1,080.85	$1,438.47	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.35 / $1,194.56 / $1,551.85	Professional		$864.35	$1,194.56	$1,551.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $708.37 / $973.92 / $1,156.66	Professional		$708.37	$973.92	$1,156.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.83 / $1,125.14 / $1,590.65	Professional		$618.83	$1,125.14	$1,590.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,147.40 / $1,403.90 / $1,403.90	Professional		$1,147.40	$1,403.90	$1,403.90