Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.95 / $614.95 / $4,338.00	Facility		$614.95	$614.95	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.99 / $614.95 / $1,709.43	Professional		$597.99	$614.95	$1,709.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.30 / $1,611.96 / $2,014.95	Professional		$1,238.30	$1,611.96	$2,014.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $859.01 / $1,062.21 / $1,571.82	Facility		$859.01	$1,062.21	$1,571.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.96 / $1,263.74 / $7,679.29	Professional		$661.96	$1,263.74	$7,679.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,240.45 / $1,603.02 / $12,493.80	Facility		$1,240.45	$1,603.02	$12,493.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $935.94 / $1,354.01 / $1,626.53	Professional		$935.94	$1,354.01	$1,626.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $733.56 / $1,161.30 / $1,412.18	Professional		$733.56	$1,161.30	$1,412.18
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 $602.82 / $1,263.74 / $1,706.49	Professional		$602.82	$1,263.74	$1,706.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,400.90 / $1,714.10 / $1,714.10	Professional		$1,400.90	$1,714.10	$1,714.10