Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $592.54 / $3,511.00	Facility		$592.54	$592.54	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.44 / $592.54 / $972.69	Professional		$486.44	$592.54	$972.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.54 / $1,279.28 / $1,599.10	Professional		$1,162.54	$1,279.28	$1,599.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.44 / $725.30 / $1,478.45	Facility		$486.44	$725.30	$1,478.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.39 / $1,006.47 / $1,765.65	Professional		$500.39	$1,006.47	$1,765.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $901.29 / $1,297.86 / $1,686.26	Facility		$901.29	$1,297.86	$1,686.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $807.00 / $1,302.59 / $1,476.01	Professional		$807.00	$1,302.59	$1,476.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $604.32 / $915.03 / $1,076.44	Professional		$604.32	$915.03	$1,076.44
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 $515.14 / $1,017.83 / $1,565.62	Professional		$515.14	$1,017.83	$1,565.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,049.09 / $1,283.59 / $1,283.59	Professional		$1,049.09	$1,283.59	$1,283.59