Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.13 / $478.16 / $478.16	Facility		$329.13	$478.16	$478.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $419.43 / $603.66	Professional		$321.12	$419.43	$603.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.05 / $972.08 / $1,337.13	Professional		$751.05	$972.08	$1,337.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.96 / $674.50 / $1,128.42	Facility		$399.96	$674.50	$1,128.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.55 / $1,006.79 / $3,474.64	Professional		$513.55	$1,006.79	$3,474.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $1,037.61 / $1,488.12	Facility		$652.50	$1,037.61	$1,488.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $671.35 / $872.08 / $1,154.86	Professional		$671.35	$872.08	$1,154.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $481.88 / $686.31 / $901.41	Professional		$481.88	$686.31	$901.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $165.36 / $165.36 / $165.36	Professional	AS	$165.36	$165.36	$165.36
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 $470.77 / $814.72 / $1,267.33	Professional		$470.77	$814.72	$1,267.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $657.20 / $804.00 / $1,117.30	Professional		$657.20	$804.00	$1,117.30