Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.87 / $645.87 / $3,511.00	Facility		$645.87	$645.87	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.58 / $645.87 / $2,055.85	Professional		$599.58	$645.87	$2,055.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.13 / $1,611.18 / $2,013.97	Professional		$1,569.13	$1,611.18	$2,013.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.40 / $1,091.52 / $1,995.23	Facility		$857.40	$1,091.52	$1,995.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $853.10 / $1,421.84 / $6,877.00	Professional		$853.10	$1,421.84	$6,877.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $1,875.87 / $4,555.17	Facility		$1,261.00	$1,875.87	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,319.00 / $1,569.13 / $1,899.96	Professional		$1,319.00	$1,569.13	$1,899.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $889.32 / $1,189.41 / $1,394.72	Professional		$889.32	$1,189.41	$1,394.72
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 $853.10 / $1,421.84 / $1,996.37	Professional		$853.10	$1,421.84	$1,996.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,359.20 / $1,599.10 / $1,663.10	Professional		$1,359.20	$1,599.10	$1,663.10