Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.27 / $795.27 / $4,338.00	Facility		$795.27	$795.27	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.01 / $795.27 / $1,903.61	Professional		$641.01	$795.27	$1,903.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.97 / $1,691.43 / $2,114.28	Professional		$1,546.97	$1,691.43	$2,114.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.93 / $1,222.68 / $1,852.49	Facility		$720.93	$1,222.68	$1,852.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.26 / $1,358.76 / $5,518.40	Professional		$815.26	$1,358.76	$5,518.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $1,848.31 / $5,269.25	Facility		$1,121.00	$1,848.31	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $957.00 / $1,585.64 / $2,015.27	Professional		$957.00	$1,585.64	$2,015.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $830.02 / $1,179.75 / $1,434.82	Professional		$830.02	$1,179.75	$1,434.82
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 $620.88 / $1,270.48 / $1,976.30	Professional		$620.88	$1,270.48	$1,976.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.80 / $1,608.00 / $1,672.40	Professional		$1,366.80	$1,608.00	$1,672.40