Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.69 / $552.69 / $3,511.00	Facility		$552.69	$552.69	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $551.37 / $552.69	Professional		$507.78	$551.37	$552.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.67 / $1,117.23 / $1,396.54	Professional		$1,053.67	$1,117.23	$1,396.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.19 / $858.15 / $1,471.70	Facility		$519.19	$858.15	$1,471.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $1,060.14 / $3,835.20	Professional		$634.26	$1,060.14	$3,835.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $1,271.75 / $2,383.04	Facility		$746.00	$1,271.75	$2,383.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $826.61 / $1,148.47 / $1,568.82	Professional		$826.61	$1,148.47	$1,568.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.81 / $895.36 / $1,020.81	Professional		$676.81	$895.36	$1,020.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.08 / $1,389.87 / $1,452.11	Professional		$636.08	$1,389.87	$1,452.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,052.90 / $1,238.70 / $1,288.30	Professional		$1,052.90	$1,238.70	$1,288.30