Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.90 / $530.90 / $3,511.00	Facility		$530.90	$530.90	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.93 / $530.90 / $823.92	Professional		$492.93	$530.90	$823.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.66 / $1,325.25 / $1,656.56	Professional		$1,289.66	$1,325.25	$1,656.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.89 / $897.22 / $1,638.25	Facility		$704.89	$897.22	$1,638.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $706.56 / $1,177.59 / $4,388.72	Professional		$706.56	$1,177.59	$4,388.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.00 / $1,542.86 / $3,079.87	Facility		$1,032.00	$1,542.86	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $1,289.66 / $1,560.09	Professional		$1,005.00	$1,289.66	$1,560.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $737.36 / $981.70 / $1,146.31	Professional		$737.36	$981.70	$1,146.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.56 / $1,171.72 / $1,644.16	Professional		$706.56	$1,171.72	$1,644.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,117.09 / $1,314.30 / $1,366.90	Professional		$1,117.09	$1,314.30	$1,366.90