Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.16 / $596.16 / $3,073.00	Facility		$596.16	$596.16	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.99 / $605.91 / $666.52	Professional		$537.99	$605.91	$666.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.06 / $1,427.31 / $1,784.14	Professional		$1,297.06	$1,427.31	$1,784.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.33 / $1,007.51 / $1,792.79	Facility		$769.33	$1,007.51	$1,792.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $589.34 / $1,326.18 / $6,414.54	Professional		$589.34	$1,326.18	$6,414.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $1,559.83 / $5,269.25	Facility		$1,111.00	$1,559.83	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,134.00 / $1,387.17 / $1,694.60	Professional		$1,134.00	$1,387.17	$1,694.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $766.73 / $1,048.10 / $1,232.99	Professional		$766.73	$1,048.10	$1,232.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.48 / $1,233.66 / $1,711.16	Professional		$629.48	$1,233.66	$1,711.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,223.20 / $1,439.00 / $1,496.60	Professional		$1,223.20	$1,439.00	$1,496.60