Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.98 / $558.98 / $3,511.00	Facility		$558.98	$558.98	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $552.29 / $967.78	Professional		$552.29	$552.29	$967.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.79 / $1,371.22 / $1,714.02	Professional		$1,277.79	$1,371.22	$1,714.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.52 / $884.95 / $1,481.73	Facility		$656.52	$884.95	$1,481.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.68 / $1,138.35 / $4,558.56	Professional		$655.68	$1,138.35	$4,558.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $1,527.86 / $2,929.96	Facility		$882.00	$1,527.86	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,309.73 / $1,651.36	Professional		$812.00	$1,309.73	$1,651.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $967.49 / $1,194.18	Professional		$695.50	$967.49	$1,194.18
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 $655.68 / $1,092.80 / $1,629.68	Professional		$655.68	$1,092.80	$1,629.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,163.80 / $1,369.20 / $1,423.90	Professional		$1,163.80	$1,369.20	$1,423.90