Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.38 / $766.38 / $3,073.00	Facility		$766.38	$766.38	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.58 / $766.38 / $1,233.36	Professional		$619.58	$766.38	$1,233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.24 / $1,608.06 / $2,010.08	Professional		$1,433.24	$1,608.06	$2,010.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.58 / $941.04 / $1,601.60	Facility		$619.58	$941.04	$1,601.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.86 / $1,096.03 / $1,818.19	Professional		$576.86	$1,096.03	$1,818.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,266.04 / $1,366.03 / $2,380.56	Facility		$1,266.04	$1,366.03	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $882.95 / $1,366.03 / $1,886.76	Professional		$882.95	$1,366.03	$1,886.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $962.22 / $1,335.85	Professional		$705.00	$962.22	$1,335.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $1,153.72 / $1,793.32	Professional		$634.54	$1,153.72	$1,793.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,301.90 / $1,592.90 / $1,592.90	Professional		$1,301.90	$1,592.90	$1,592.90