Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.46 / $525.46 / $2,290.00	Facility		$525.46	$525.46	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.81 / $525.46 / $1,629.89	Professional		$472.81	$525.46	$1,629.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.86 / $1,237.99 / $1,547.49	Professional		$1,216.86	$1,237.99	$1,547.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.96 / $888.03 / $1,520.47	Facility		$545.96	$888.03	$1,520.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $673.90 / $1,123.16 / $4,150.80	Professional		$673.90	$1,123.16	$4,150.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,468.38 / $3,079.87	Facility		$1,003.00	$1,468.38	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,216.86 / $1,478.42	Professional		$960.00	$1,216.86	$1,478.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $708.38 / $943.41 / $1,081.61	Professional		$708.38	$943.41	$1,081.61
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 $673.90 / $1,008.20 / $1,568.31	Professional		$673.90	$1,008.20	$1,568.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,073.00 / $1,262.40 / $1,312.90	Professional		$1,073.00	$1,262.40	$1,312.90