Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.91 / $576.91 / $3,511.00	Facility		$576.91	$576.91	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.12 / $576.91 / $1,384.68	Professional		$487.12	$576.91	$1,384.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.66 / $1,318.24 / $1,647.80	Professional		$1,012.66	$1,318.24	$1,647.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $728.88 / $947.53 / $1,282.59	Facility		$728.88	$947.53	$1,282.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.17 / $1,008.34 / $4,284.32	Professional		$528.17	$1,008.34	$4,284.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,041.81 / $1,353.31 / $1,969.98	Facility		$1,041.81	$1,353.31	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $743.89 / $1,154.96 / $1,542.74	Professional		$743.89	$1,154.96	$1,542.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.10 / $854.64 / $1,146.31	Professional		$598.10	$854.64	$1,146.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,200.82	Facility		$3,143.00	$3,143.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $528.17 / $1,008.34 / $1,567.55	Professional		$528.17	$1,008.34	$1,567.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,137.20 / $1,391.40 / $1,391.40	Professional		$1,137.20	$1,391.40	$1,391.40