Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $3,142.80 / $3,142.80	Facility		$458.59	$3,142.80	$3,142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.18 / $458.59 / $1,836.90	Professional		$436.18	$458.59	$1,836.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.19 / $1,041.66 / $1,302.07	Professional		$800.19	$1,041.66	$1,302.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.55 / $737.14 / $1,219.15	Facility		$556.55	$737.14	$1,219.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.42 / $949.62 / $3,448.40	Professional		$497.42	$949.62	$3,448.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $851.52 / $1,143.05 / $1,664.46	Facility		$851.52	$1,143.05	$1,664.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $643.88 / $974.54 / $1,245.80	Professional		$643.88	$974.54	$1,245.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $581.17 / $790.21 / $929.60	Professional		$581.17	$790.21	$929.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $174.50 / $174.50 / $174.50	Professional	AS	$174.50	$174.50	$174.50
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 $506.93 / $948.02 / $1,276.04	Professional		$506.93	$948.02	$1,276.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $922.20 / $1,128.30 / $1,128.30	Professional		$922.20	$1,128.30	$1,128.30