Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $567.77 / $3,511.00	Facility		$567.77	$567.77	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.55 / $567.77 / $607.12	Professional		$512.55	$567.77	$607.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.20 / $1,363.43 / $1,704.28	Professional		$991.20	$1,363.43	$1,704.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.40 / $909.21 / $1,632.23	Facility		$608.40	$909.21	$1,632.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.67 / $1,141.66 / $4,513.20	Professional		$634.67	$1,141.66	$4,513.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $886.20 / $1,495.65 / $3,285.23	Facility		$886.20	$1,495.65	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $1,373.78 / $1,674.18	Professional		$807.00	$1,373.78	$1,674.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.07 / $966.03 / $1,221.34	Professional		$658.07	$966.03	$1,221.34
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 $627.91 / $1,136.46 / $1,674.26	Professional		$627.91	$1,136.46	$1,674.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,211.59 / $1,482.50 / $1,482.50	Professional		$1,211.59	$1,482.50	$1,482.50