Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.59 / $720.59 / $3,511.00	Facility		$720.59	$720.59	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.42 / $630.16 / $821.27	Professional		$590.42	$630.16	$821.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.75 / $1,553.53 / $1,941.91	Professional		$1,411.75	$1,553.53	$1,941.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $888.02 / $1,804.09	Facility		$580.00	$888.02	$1,804.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $629.48 / $1,227.33 / $2,147.46	Professional		$629.48	$1,227.33	$2,147.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,268.94 / $1,539.00 / $1,795.50	Facility		$1,268.94	$1,539.00	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,051.98 / $1,587.87 / $1,797.89	Professional		$1,051.98	$1,587.87	$1,797.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $736.76 / $1,113.00 / $1,309.33	Professional		$736.76	$1,113.00	$1,309.33
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 $749.46 / $1,229.89 / $1,909.18	Professional		$749.46	$1,229.89	$1,909.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,561.20 / $1,561.20	Professional		$1,276.00	$1,561.20	$1,561.20