Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.30 / $554.30 / $4,338.00	Facility		$554.30	$554.30	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.01 / $554.30 / $695.29	Professional		$500.01	$554.30	$695.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.46 / $1,313.56 / $1,641.95	Professional		$1,279.46	$1,313.56	$1,641.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.01 / $936.78 / $1,563.59	Facility		$715.01	$936.78	$1,563.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $695.53 / $1,159.22 / $5,164.00	Professional		$695.53	$1,159.22	$5,164.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $905.97 / $1,445.64 / $1,781.14	Facility		$905.97	$1,445.64	$1,781.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,066.00 / $1,279.46 / $1,546.87	Professional		$1,066.00	$1,279.46	$1,546.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $727.85 / $974.74 / $1,137.25	Professional		$727.85	$974.74	$1,137.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.65 / $1,161.74 / $1,623.58	Professional		$595.65	$1,161.74	$1,623.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,128.20 / $1,327.30 / $1,380.40	Professional		$1,128.20	$1,327.30	$1,380.40