Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.42 / $500.42 / $4,338.00	Facility		$500.42	$500.42	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.06 / $500.42 / $1,477.82	Professional		$466.06	$500.42	$1,477.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.42 / $1,225.52 / $1,531.91	Professional		$1,190.42	$1,225.52	$1,531.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $666.47 / $845.71 / $1,391.99	Facility		$666.47	$845.71	$1,391.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $620.38 / $1,046.88 / $5,060.51	Professional		$620.38	$1,046.88	$5,060.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,433.07 / $4,114.05	Facility		$914.00	$1,433.07	$4,114.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $1,207.42 / $1,484.42	Professional		$906.00	$1,207.42	$1,484.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $652.60 / $902.55 / $1,073.21	Professional		$652.60	$902.55	$1,073.21
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 $620.38 / $1,033.96 / $1,498.90	Professional		$620.38	$1,033.96	$1,498.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,045.90 / $1,230.50 / $1,279.70	Professional		$1,045.90	$1,230.50	$1,279.70