Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.83 / $489.83 / $3,073.00	Facility		$489.83	$489.83	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $489.83 / $1,477.02	Professional		$458.00	$489.83	$1,477.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.06 / $1,224.75 / $1,530.93	Professional		$1,209.06	$1,224.75	$1,530.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $654.94 / $833.13 / $1,450.81	Facility		$654.94	$833.13	$1,450.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $623.11 / $1,090.45 / $4,177.20	Professional		$623.11	$1,090.45	$4,177.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,383.77 / $1,800.97	Facility		$813.26	$1,383.77	$1,800.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $953.00 / $1,218.33 / $1,570.89	Professional		$953.00	$1,218.33	$1,570.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $900.36 / $1,135.31	Professional		$651.29	$900.36	$1,135.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.11 / $1,038.52 / $1,533.90	Professional		$623.11	$1,038.52	$1,533.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,106.40 / $1,301.70 / $1,353.80	Professional		$1,106.40	$1,301.70	$1,353.80