Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.50 / $553.50 / $4,338.00	Facility		$553.50	$553.50	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.36 / $553.50 / $1,013.57	Professional		$467.36	$553.50	$1,013.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.96 / $1,265.26 / $1,581.57	Professional		$971.96	$1,265.26	$1,581.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $671.36 / $862.89 / $1,414.07	Facility		$671.36	$862.89	$1,414.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.78 / $1,098.01 / $4,107.68	Professional		$521.78	$1,098.01	$4,107.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,020.46 / $1,392.00 / $3,711.03	Facility		$1,020.46	$1,392.00	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $1,127.05 / $1,477.18	Professional		$804.30	$1,127.05	$1,477.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $577.25 / $923.78 / $1,099.08	Professional		$577.25	$923.78	$1,099.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.11 / $1,045.72 / $1,502.56	Professional		$487.11	$1,045.72	$1,502.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,090.30 / $1,334.10 / $1,334.10	Professional		$1,090.30	$1,334.10	$1,334.10