Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.91 / $523.91 / $3,511.00	Facility		$523.91	$523.91	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.63 / $523.91 / $1,256.80	Professional		$442.63	$523.91	$1,256.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.21 / $1,199.03 / $1,498.79	Professional		$905.21	$1,199.03	$1,498.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $635.84 / $842.65 / $1,206.69	Facility		$635.84	$842.65	$1,206.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.49 / $921.12 / $3,888.88	Professional		$482.49	$921.12	$3,888.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $905.21 / $1,200.82 / $1,969.98	Facility		$905.21	$1,200.82	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $986.92 / $1,393.37	Professional		$679.22	$986.92	$1,393.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $786.93 / $1,040.85	Professional		$537.04	$786.93	$1,040.85
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 $461.05 / $877.26 / $1,415.09	Professional		$461.05	$877.26	$1,415.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,032.59 / $1,263.40 / $1,263.40	Professional		$1,032.59	$1,263.40	$1,263.40