Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.14 / $590.14 / $3,073.00	Facility		$590.14	$590.14	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.90 / $590.14 / $1,676.41	Professional		$497.90	$590.14	$1,676.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.41 / $1,343.95 / $1,679.93	Professional		$1,032.41	$1,343.95	$1,679.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $771.17 / $1,021.76 / $1,525.57	Facility		$771.17	$1,021.76	$1,525.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $1,137.07 / $6,452.47	Professional		$568.20	$1,137.07	$6,452.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,455.12 / $4,703.62	Facility		$953.00	$1,455.12	$4,703.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $836.57 / $1,218.29 / $1,586.46	Professional		$836.57	$1,218.29	$1,586.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $995.75 / $1,172.83	Professional		$668.65	$995.75	$1,172.83
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 $568.20 / $1,037.39 / $1,613.72	Professional		$568.20	$1,037.39	$1,613.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,163.50 / $1,423.60 / $1,423.60	Professional		$1,163.50	$1,423.60	$1,423.60