Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.28 / $643.28 / $3,073.00	Facility		$643.28	$643.28	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.83 / $643.28 / $1,596.02	Professional		$520.83	$643.28	$1,596.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.60 / $1,371.22 / $1,714.02	Professional		$1,288.60	$1,371.22	$1,714.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.83 / $1,006.53 / $1,510.37	Facility		$693.83	$1,006.53	$1,510.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.06 / $1,125.09 / $4,509.92	Professional		$675.06	$1,125.09	$4,509.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $1,548.44 / $3,013.58	Facility		$935.00	$1,548.44	$3,013.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $1,318.05 / $1,640.55	Professional		$947.00	$1,318.05	$1,640.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $980.72 / $1,171.54	Professional		$685.77	$980.72	$1,171.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.06 / $1,211.25 / $1,629.49	Professional		$675.06	$1,211.25	$1,629.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,116.00 / $1,313.00 / $1,365.50	Professional		$1,116.00	$1,313.00	$1,365.50