Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.65 / $534.65 / $4,338.00	Facility		$534.65	$534.65	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.52 / $534.65 / $1,585.94	Professional		$497.52	$534.65	$1,585.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.94 / $1,308.10 / $1,635.14	Professional		$1,276.94	$1,308.10	$1,635.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.45 / $903.56 / $1,494.22	Facility		$711.45	$903.56	$1,494.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $664.03 / $1,122.33 / $4,373.60	Professional		$664.03	$1,122.33	$4,373.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,537.85 / $4,114.05	Facility		$960.00	$1,537.85	$4,114.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $1,289.66 / $1,590.12	Professional		$885.00	$1,289.66	$1,590.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $692.06 / $974.42 / $1,146.31	Professional		$692.06	$974.42	$1,146.31
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 $549.10 / $1,032.07 / $1,605.44	Professional		$549.10	$1,032.07	$1,605.44
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