Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.79 / $663.79 / $4,338.00	Facility		$663.79	$663.79	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.19 / $663.79 / $716.06	Professional		$596.19	$663.79	$716.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.58 / $1,590.92 / $1,988.65	Professional		$1,156.58	$1,590.92	$1,988.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $687.81 / $1,192.38 / $1,983.03	Facility		$687.81	$1,192.38	$1,983.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $834.60 / $1,379.38 / $11,064.05	Professional		$834.60	$1,379.38	$11,064.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,104.66 / $1,719.68 / $6,855.77	Facility		$1,104.66	$1,719.68	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $1,550.21 / $1,892.76	Professional		$1,122.00	$1,550.21	$1,892.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $865.85 / $1,208.56 / $1,377.90	Professional		$865.85	$1,208.56	$1,377.90
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 $833.24 / $1,288.36 / $1,986.18	Professional		$833.24	$1,288.36	$1,986.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.90 / $1,672.50 / $1,672.50	Professional		$1,366.90	$1,672.50	$1,672.50