Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.58 / $545.58 / $3,511.00	Facility		$545.58	$545.58	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.47 / $545.58 / $1,306.57	Professional		$460.47	$545.58	$1,306.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.60 / $1,246.56 / $1,558.20	Professional		$957.60	$1,246.56	$1,558.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.47 / $895.31 / $1,377.10	Facility		$661.47	$895.31	$1,377.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.97 / $1,095.15 / $4,044.56	Professional		$513.97	$1,095.15	$4,044.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,004.97 / $1,340.58 / $3,711.03	Facility		$1,004.97	$1,340.58	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $801.72 / $1,107.49 / $1,454.40	Professional		$801.72	$1,107.49	$1,454.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $628.47 / $889.57 / $1,082.26	Professional		$628.47	$889.57	$1,082.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.94 / $950.27 / $1,478.20	Professional		$473.94	$950.27	$1,478.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,073.59 / $1,313.60 / $1,313.60	Professional		$1,073.59	$1,313.60	$1,313.60