Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.71 / $571.71 / $3,511.00	Facility		$571.71	$571.71	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.76 / $571.71 / $1,499.49	Professional		$463.76	$571.71	$1,499.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.11 / $1,229.42 / $1,536.77	Professional		$1,176.11	$1,229.42	$1,536.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.90 / $909.54 / $1,411.50	Facility		$611.90	$909.54	$1,411.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $637.37 / $1,062.28 / $3,999.92	Professional		$637.37	$1,062.28	$3,999.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $868.00 / $1,417.63 / $2,440.29	Facility		$868.00	$1,417.63	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,176.11 / $1,451.99	Professional		$912.00	$1,176.11	$1,451.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.22 / $897.57 / $1,045.39	Professional		$658.22	$897.57	$1,045.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $6,486.14	Facility		$2,714.00	$2,714.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $637.37 / $1,115.39 / $1,474.26	Professional		$637.37	$1,115.39	$1,474.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $995.90 / $1,171.59 / $1,218.50	Professional		$995.90	$1,171.59	$1,218.50