Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.45 / $577.45 / $3,511.00	Facility		$577.45	$577.45	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.24 / $602.57 / $916.89	Professional		$488.24	$602.57	$916.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.47 / $1,316.68 / $1,645.85	Professional		$1,011.47	$1,316.68	$1,645.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.91 / $975.89 / $1,552.72	Facility		$764.91	$975.89	$1,552.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.41 / $1,209.75 / $4,399.59	Professional		$602.41	$1,209.75	$4,399.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,080.99 / $1,435.27 / $3,711.03	Facility		$1,080.99	$1,435.27	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,263.47 / $1,527.66	Professional		$897.27	$1,263.47	$1,527.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $700.57 / $967.77 / $1,123.02	Professional		$700.57	$967.77	$1,123.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.41 / $1,044.00 / $1,624.00	Professional		$602.41	$1,044.00	$1,624.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,114.09 / $1,363.10 / $1,363.10	Professional		$1,114.09	$1,363.10	$1,363.10