Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.11 / $452.11 / $3,511.00	Facility		$452.11	$452.11	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.62 / $452.11 / $1,323.75	Professional		$423.62	$452.11	$1,323.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.21 / $1,123.46 / $1,404.33	Professional		$1,073.21	$1,123.46	$1,404.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.60 / $764.07 / $1,224.89	Facility		$574.60	$764.07	$1,224.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.38 / $924.70 / $5,058.97	Professional		$550.38	$924.70	$5,058.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,235.56 / $6,152.06	Facility		$784.00	$1,235.56	$6,152.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $1,084.41 / $1,319.89	Professional		$753.00	$1,084.41	$1,319.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $586.86 / $799.73 / $963.88	Professional		$586.86	$799.73	$963.88
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 $504.52 / $864.00 / $1,344.00	Professional		$504.52	$864.00	$1,344.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $939.40 / $1,105.09 / $1,149.30	Professional		$939.40	$1,105.09	$1,149.30