Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.58 / $383.58 / $4,338.00	Facility		$383.58	$383.58	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $383.58 / $383.58	Professional		$356.70	$383.58	$383.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.86 / $787.67 / $984.59	Professional		$742.86	$787.67	$984.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.73 / $892.61 / $1,628.72	Facility		$477.73	$892.61	$1,628.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.02 / $1,018.13 / $3,982.75	Professional		$641.02	$1,018.13	$3,982.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $902.13 / $1,024.08 / $1,198.23	Facility		$902.13	$1,024.08	$1,198.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $835.52 / $1,024.08 / $1,200.97	Professional		$835.52	$1,024.08	$1,200.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $521.32 / $705.56 / $1,049.00	Professional		$521.32	$705.56	$1,049.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.21 / $683.82 / $1,063.72	Professional		$572.21	$683.82	$1,063.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $901.20 / $937.20	Professional		$766.00	$901.20	$937.20