Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.83 / $489.83 / $4,338.00	Facility		$489.83	$489.83	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.09 / $489.83 / $1,590.84	Professional		$453.09	$489.83	$1,590.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.48 / $1,214.61 / $1,518.27	Professional		$1,206.48	$1,214.61	$1,518.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $827.81 / $1,513.61	Facility		$641.41	$827.81	$1,513.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.88 / $1,072.26 / $4,045.76	Professional		$634.88	$1,072.26	$4,045.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $836.00 / $1,460.44 / $3,103.79	Facility		$836.00	$1,460.44	$3,103.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $1,231.43 / $1,496.44	Professional		$790.00	$1,231.43	$1,496.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $686.48 / $930.43 / $1,094.55	Professional		$686.48	$930.43	$1,094.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.57 / $1,111.05 / $1,495.14	Professional		$726.57	$1,111.05	$1,495.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,066.70 / $1,255.00 / $1,305.20	Professional		$1,066.70	$1,255.00	$1,305.20