Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.41 / $524.41 / $3,073.00	Facility		$524.41	$524.41	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.54 / $524.41 / $555.84	Professional		$473.54	$524.41	$555.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.00 / $1,261.35 / $1,576.70	Professional		$917.00	$1,261.35	$1,576.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.30 / $807.58 / $1,482.10	Facility		$544.30	$807.58	$1,482.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $569.04 / $1,034.64 / $4,155.84	Professional		$569.04	$1,034.64	$4,155.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $801.46 / $1,377.03 / $3,285.23	Facility		$801.46	$1,377.03	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $1,252.14 / $1,537.27	Professional		$711.00	$1,252.14	$1,537.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $649.44 / $878.42 / $1,124.31	Professional		$649.44	$878.42	$1,124.31
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 $569.04 / $1,034.64 / $1,534.15	Professional		$569.04	$1,034.64	$1,534.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,115.40 / $1,364.70 / $1,364.70	Professional		$1,115.40	$1,364.70	$1,364.70