Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.13 / $527.13 / $3,073.00	Facility		$527.13	$527.13	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.71 / $519.16 / $842.00	Professional		$442.71	$519.16	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.51 / $1,190.46 / $1,488.08	Professional		$914.51	$1,190.46	$1,488.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.88 / $818.60 / $1,384.91	Facility		$545.88	$818.60	$1,384.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.89 / $1,080.95 / $3,922.80	Professional		$466.89	$1,080.95	$3,922.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.80 / $1,300.95 / $2,824.47	Facility		$898.80	$1,300.95	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.00 / $1,098.56 / $1,399.26	Professional		$668.00	$1,098.56	$1,399.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $886.99 / $1,043.45	Professional		$541.17	$886.99	$1,043.45
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 $566.21 / $1,029.48 / $1,447.32	Professional		$566.21	$1,029.48	$1,447.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,035.09 / $1,266.50 / $1,266.50	Professional		$1,035.09	$1,266.50	$1,266.50