Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $413.12 / $3,054.99	Facility		$413.12	$413.12	$3,054.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.87 / $413.12 / $669.09	Professional		$389.87	$413.12	$669.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.79 / $939.59 / $1,174.49	Professional		$721.79	$939.59	$1,174.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.05 / $660.30 / $1,086.76	Facility		$501.05	$660.30	$1,086.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.13 / $849.79 / $3,095.12	Professional		$445.13	$849.79	$3,095.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $765.29 / $1,062.42 / $1,664.46	Facility		$765.29	$1,062.42	$1,664.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.10 / $868.61 / $1,114.73	Professional		$575.10	$868.61	$1,114.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $520.04 / $708.27 / $833.21	Professional		$520.04	$708.27	$833.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $155.58 / $155.58 / $155.58	Professional	AS	$155.58	$155.58	$155.58
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 $445.13 / $830.00 / $1,143.46	Professional		$445.13	$830.00	$1,143.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $826.60 / $1,011.30 / $1,011.30	Professional		$826.60	$1,011.30	$1,011.30