Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.95 / $547.95 / $4,338.00	Facility		$547.95	$547.95	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.51 / $547.95 / $589.92	Professional		$492.51	$547.95	$589.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.52 / $1,314.34 / $1,642.93	Professional		$955.52	$1,314.34	$1,642.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.76 / $985.02 / $1,507.02	Facility		$566.76	$985.02	$1,507.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.48 / $1,052.46 / $8,481.71	Professional		$631.48	$1,052.46	$8,481.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $811.67 / $1,418.05 / $6,855.77	Facility		$811.67	$1,418.05	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $1,230.28 / $1,560.09	Professional		$828.00	$1,230.28	$1,560.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $666.76 / $901.63 / $1,135.31	Professional		$666.76	$901.63	$1,135.31
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 $631.48 / $1,052.46 / $1,637.02	Professional		$631.48	$1,052.46	$1,637.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,126.30 / $1,378.00 / $1,378.00	Professional		$1,126.30	$1,378.00	$1,378.00