Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.87 / $702.87 / $3,073.00	Facility		$702.87	$702.87	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.12 / $568.26 / $702.87	Professional		$567.12	$568.26	$702.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.42 / $1,488.86 / $1,861.08	Professional		$1,369.42	$1,488.86	$1,861.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $699.92 / $1,113.10 / $1,640.97	Facility		$699.92	$1,113.10	$1,640.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $1,199.10 / $7,623.00	Professional		$713.22	$1,199.10	$7,623.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.00 / $1,633.00 / $5,269.25	Facility		$1,032.00	$1,633.00	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,403.66 / $1,785.87	Professional		$914.00	$1,403.66	$1,785.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $730.44 / $1,033.63 / $1,265.33	Professional		$730.44	$1,033.63	$1,265.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.88 / $1,384.80 / $1,751.01	Professional		$590.88	$1,384.80	$1,751.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,205.40 / $1,418.10 / $1,474.80	Professional		$1,205.40	$1,418.10	$1,474.80