Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $572.67 / $3,073.00	Facility		$572.67	$572.67	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.33 / $572.67 / $1,476.52	Professional		$490.33	$572.67	$1,476.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.25 / $1,326.81 / $1,658.51	Professional		$1,019.25	$1,326.81	$1,658.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.36 / $891.32 / $1,537.50	Facility		$704.36	$891.32	$1,537.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.15 / $1,188.29 / $4,416.88	Professional		$552.15	$1,188.29	$4,416.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,460.85 / $2,173.59	Facility		$953.00	$1,460.85	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $823.00 / $1,250.68 / $1,639.29	Professional		$823.00	$1,250.68	$1,639.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $670.68 / $1,040.96 / $1,224.58	Professional		$670.68	$1,040.96	$1,224.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.74 / $1,018.66 / $1,584.58	Professional		$544.74	$1,018.66	$1,584.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,214.80 / $1,486.40 / $1,486.40	Professional		$1,214.80	$1,486.40	$1,486.40