Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.07 / $616.07 / $3,511.00	Facility		$616.07	$616.07	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.74 / $616.07 / $1,479.55	Professional		$519.74	$616.07	$1,479.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.09 / $1,404.72 / $1,755.90	Professional		$1,079.09	$1,404.72	$1,755.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $746.61 / $965.61 / $1,587.30	Facility		$746.61	$965.61	$1,587.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $579.80 / $1,239.17 / $4,578.08	Professional		$579.80	$1,239.17	$4,578.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,517.59 / $8,250.46	Facility		$1,089.00	$1,517.59	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $908.97 / $1,273.99 / $1,652.03	Professional		$908.97	$1,273.99	$1,652.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $640.32 / $1,035.85 / $1,223.93	Professional		$640.32	$1,035.85	$1,223.93
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 $649.09 / $1,240.65 / $1,680.25	Professional		$649.09	$1,240.65	$1,680.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,214.20 / $1,485.60 / $1,485.60	Professional		$1,214.20	$1,485.60	$1,485.60