Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.66 / $602.66 / $3,511.00	Facility		$602.66	$602.66	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.85 / $602.66 / $986.46	Professional		$494.85	$602.66	$986.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.53 / $1,297.98 / $1,622.48	Professional		$1,179.53	$1,297.98	$1,622.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.85 / $751.05 / $1,495.68	Facility		$494.85	$751.05	$1,495.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.64 / $1,021.10 / $1,789.45	Professional		$521.64	$1,021.10	$1,789.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,058.13 / $1,318.12 / $1,821.47	Facility		$1,058.13	$1,318.12	$1,821.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $873.97 / $1,319.40 / $1,497.64	Professional		$873.97	$1,319.40	$1,497.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $611.89 / $926.58 / $1,090.03	Professional		$611.89	$926.58	$1,090.03
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 $589.24 / $1,021.10 / $1,588.38	Professional		$589.24	$1,021.10	$1,588.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,062.30 / $1,299.80 / $1,299.80	Professional		$1,062.30	$1,299.80	$1,299.80