Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.60 / $695.60 / $3,511.00	Facility		$695.60	$695.60	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.25 / $695.60 / $1,675.15	Professional		$586.25	$695.60	$1,675.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.55 / $1,582.35 / $1,977.94	Professional		$1,215.55	$1,582.35	$1,977.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.21 / $1,175.56 / $1,810.35	Facility		$910.21	$1,175.56	$1,810.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $654.03 / $1,393.39 / $5,175.60	Professional		$654.03	$1,393.39	$5,175.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,715.83 / $10,405.24	Facility		$1,089.00	$1,715.83	$10,405.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,024.33 / $1,442.81 / $1,876.07	Professional		$1,024.33	$1,442.81	$1,876.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $846.25 / $1,176.79 / $1,384.37	Professional		$846.25	$1,176.79	$1,384.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.58 / $1,226.52 / $1,907.92	Professional		$648.58	$1,226.52	$1,907.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,373.30 / $1,680.30 / $1,680.30	Professional		$1,373.30	$1,680.30	$1,680.30