Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.50 / $832.62 / $1,589.87	Facility		$187.50	$832.62	$1,589.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $717.73 / $2,398.55	Professional		$187.50	$717.73	$2,398.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.17 / $903.66 / $2,347.04	Professional		$363.17	$903.66	$2,347.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.58 / $737.40 / $2,389.05	Facility		$241.58	$737.40	$2,389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.06 / $1,959.24 / $6,044.48	Professional		$1,163.06	$1,959.24	$6,044.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $1,522.92 / $2,314.21	Facility		$495.31	$1,522.92	$2,314.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $1,739.43 / $2,263.87	Professional		$437.40	$1,739.43	$2,263.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $330.49 / $1,167.24 / $1,717.39	Professional		$330.49	$1,167.24	$1,717.39
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 $1,077.58 / $1,711.25 / $2,669.38	Professional		$1,077.58	$1,711.25	$2,669.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $471.90 / $1,876.60	Professional		$385.70	$471.90	$1,876.60