Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.43 / $661.43 / $3,511.00	Facility		$661.43	$661.43	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.22 / $661.43 / $1,915.21	Professional		$554.22	$661.43	$1,915.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.59 / $1,511.45 / $1,889.32	Professional		$1,455.59	$1,511.45	$1,889.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $753.31 / $1,117.82 / $1,843.94	Facility		$753.31	$1,117.82	$1,843.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $822.65 / $1,371.08 / $4,970.72	Professional		$822.65	$1,371.08	$4,970.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,052.45 / $1,578.49 / $2,078.37	Facility		$1,052.45	$1,578.49	$2,078.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $929.00 / $1,455.59 / $1,807.49	Professional		$929.00	$1,455.59	$1,807.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $834.66 / $1,134.80 / $1,293.80	Professional		$834.66	$1,134.80	$1,293.80
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 $822.65 / $1,339.48 / $1,856.62	Professional		$822.65	$1,339.48	$1,856.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,260.90 / $1,483.40 / $1,542.70	Professional		$1,260.90	$1,483.40	$1,542.70