Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.98 / $642.98 / $3,073.00	Facility		$642.98	$642.98	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.45 / $642.98 / $1,617.38	Professional		$545.45	$642.98	$1,617.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.39 / $1,458.48 / $1,823.09	Professional		$1,120.39	$1,458.48	$1,823.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.54 / $986.52 / $1,748.40	Facility		$783.54	$986.52	$1,748.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.83 / $1,342.15 / $4,930.88	Professional		$606.83	$1,342.15	$4,930.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $985.96 / $1,498.37 / $2,106.54	Facility		$985.96	$1,498.37	$2,106.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $985.96 / $1,344.35 / $1,814.13	Professional		$985.96	$1,344.35	$1,814.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $834.08 / $1,155.76 / $1,337.14	Professional		$834.08	$1,155.76	$1,337.14
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 $703.03 / $1,149.08 / $1,787.46	Professional		$703.03	$1,149.08	$1,787.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,623.00 / $1,623.00	Professional		$1,326.50	$1,623.00	$1,623.00