Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.54 / $646.54 / $3,073.00	Facility		$646.54	$646.54	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.44 / $646.54 / $661.92	Professional		$574.44	$646.54	$661.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.28 / $1,528.59 / $1,910.74	Professional		$1,111.28	$1,528.59	$1,910.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.87 / $1,048.84 / $1,791.18	Facility		$646.87	$1,048.84	$1,791.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.38 / $1,237.44 / $4,939.28	Professional		$733.38	$1,237.44	$4,939.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,016.99 / $1,637.41 / $8,689.45	Facility		$1,016.99	$1,637.41	$8,689.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,016.99 / $1,457.06 / $1,803.89	Professional		$1,016.99	$1,457.06	$1,803.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $819.53 / $1,089.55 / $1,295.08	Professional		$819.53	$1,089.55	$1,295.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.08 / $1,333.42 / $1,842.37	Professional		$764.08	$1,333.42	$1,842.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,284.80 / $1,572.00 / $1,572.00	Professional		$1,284.80	$1,572.00	$1,572.00