Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.56 / $732.56 / $4,338.00	Facility		$732.56	$732.56	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.48 / $732.56 / $1,723.76	Professional		$588.48	$732.56	$1,723.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.34 / $1,542.62 / $1,928.27	Professional		$1,419.34	$1,542.62	$1,928.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.22 / $1,055.78 / $1,693.33	Facility		$652.22	$1,055.78	$1,693.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $738.05 / $1,230.08 / $6,691.93	Professional		$738.05	$1,230.08	$6,691.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,675.30 / $5,269.25	Facility		$1,003.00	$1,675.30	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $1,454.82 / $1,844.72	Professional		$837.00	$1,454.82	$1,844.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $759.01 / $1,064.30 / $1,299.61	Professional		$759.01	$1,064.30	$1,299.61
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 $738.05 / $1,291.58 / $1,789.90	Professional		$738.05	$1,291.58	$1,789.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $1,456.50 / $1,514.80	Professional		$1,238.00	$1,456.50	$1,514.80