Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.10 / $517.10 / $2,290.00	Facility		$517.10	$517.10	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.59 / $517.10 / $1,723.19	Professional		$442.59	$517.10	$1,723.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.19 / $1,187.34 / $1,484.19	Professional		$863.19	$1,187.34	$1,484.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $635.78 / $921.10 / $3,242.25	Facility		$635.78	$921.10	$3,242.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.83 / $1,080.24 / $14,265.96	Professional		$513.83	$1,080.24	$14,265.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $710.14 / $1,282.18 / $3,072.27	Facility		$710.14	$1,282.18	$3,072.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $710.14 / $1,115.27 / $1,614.16	Professional		$710.14	$1,115.27	$1,614.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $849.81 / $1,139.83	Professional		$589.29	$849.81	$1,139.83
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 $513.83 / $956.72 / $1,488.23	Professional		$513.83	$956.72	$1,488.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,130.80 / $1,383.50 / $1,383.50	Professional		$1,130.80	$1,383.50	$1,383.50