Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.39 / $542.39 / $3,511.00	Facility		$542.39	$542.39	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.53 / $542.39 / $1,306.09	Professional		$457.53	$542.39	$1,306.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.22 / $1,235.65 / $1,544.57	Professional		$949.22	$1,235.65	$1,544.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.41 / $892.74 / $1,407.46	Facility		$700.41	$892.74	$1,407.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.48 / $1,103.40 / $4,241.68	Professional		$510.48	$1,103.40	$4,241.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $660.80 / $1,089.00 / $1,338.32	Facility		$660.80	$1,089.00	$1,338.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $810.16 / $1,043.47 / $1,459.88	Professional		$810.16	$1,043.47	$1,459.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $917.78 / $1,079.68	Professional		$668.04	$917.78	$1,079.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $972.05 / $1,485.71	Professional		$507.72	$972.05	$1,485.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.09 / $1,310.50 / $1,310.50	Professional		$1,071.09	$1,310.50	$1,310.50