Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.14 / $494.14 / $2,290.00	Facility		$494.14	$494.14	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.93 / $494.14 / $1,532.70	Professional		$444.93	$494.14	$1,532.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.54 / $1,165.53 / $1,456.92	Professional		$1,145.54	$1,165.53	$1,456.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.95 / $835.10 / $1,430.40	Facility		$513.95	$835.10	$1,430.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.95 / $1,056.58 / $3,905.52	Professional		$633.95	$1,056.58	$3,905.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $552.88 / $1,249.92 / $1,604.92	Facility		$552.88	$1,249.92	$1,604.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,145.54 / $1,389.55	Professional		$897.00	$1,145.54	$1,389.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $887.71 / $1,018.22	Professional		$666.00	$887.71	$1,018.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.12 / $1,029.63 / $1,474.76	Professional		$581.12	$1,029.63	$1,474.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,010.10 / $1,188.40 / $1,235.90	Professional		$1,010.10	$1,188.40	$1,235.90