Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.16 / $557.16 / $3,073.00	Facility		$557.16	$557.16	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.07 / $502.04 / $842.50	Professional		$449.07	$502.04	$842.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.45 / $1,188.13 / $1,485.16	Professional		$1,086.45	$1,188.13	$1,485.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $521.96 / $835.94 / $1,295.58	Facility		$521.96	$835.94	$1,295.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $570.64 / $951.06 / $6,832.27	Professional		$570.64	$951.06	$6,832.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,302.34 / $5,269.25	Facility		$792.00	$1,302.34	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $1,113.60 / $1,408.76	Professional		$689.00	$1,113.60	$1,408.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $592.96 / $824.38 / $1,006.58	Professional		$592.96	$824.38	$1,006.58
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 $570.64 / $951.06 / $1,386.28	Professional		$570.64	$951.06	$1,386.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.90 / $1,128.09 / $1,173.20	Professional		$958.90	$1,128.09	$1,173.20