Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.44 / $464.44 / $2,290.00	Facility		$464.44	$464.44	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.35 / $464.44 / $490.12	Professional		$418.35	$464.44	$490.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.45 / $1,125.80 / $1,407.25	Professional		$818.45	$1,125.80	$1,407.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.80 / $776.76 / $1,340.85	Facility		$481.80	$776.76	$1,340.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.36 / $928.05 / $4,468.60	Professional		$527.36	$928.05	$4,468.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $745.14 / $1,221.93 / $6,855.77	Facility		$745.14	$1,221.93	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,078.60 / $1,280.47	Professional		$750.00	$1,078.60	$1,280.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $580.91 / $788.70 / $958.71	Professional		$580.91	$788.70	$958.71
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 $582.75 / $1,017.81 / $1,365.00	Professional		$582.75	$1,017.81	$1,365.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $951.10 / $1,163.70 / $1,163.70	Professional		$951.10	$1,163.70	$1,163.70