Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.04 / $699.04 / $4,338.00	Facility		$699.04	$699.04	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.22 / $699.04 / $759.47	Professional		$633.22	$699.04	$759.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.49 / $1,671.95 / $2,089.94	Professional		$1,215.49	$1,671.95	$2,089.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.19 / $1,266.44 / $2,017.73	Facility		$758.19	$1,266.44	$2,017.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $873.82 / $1,481.54 / $5,623.04	Professional		$873.82	$1,481.54	$5,623.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,153.93 / $1,734.95 / $2,422.50	Facility		$1,153.93	$1,734.95	$2,422.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,711.06 / $2,088.52	Professional		$1,140.00	$1,711.06	$2,088.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $962.81 / $1,301.97 / $1,520.86	Professional		$962.81	$1,301.97	$1,520.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.85 / $1,481.54 / $2,090.34	Professional		$814.85	$1,481.54	$2,090.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,508.80 / $1,846.00 / $1,846.00	Professional		$1,508.80	$1,846.00	$1,846.00