Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $3,511.00	Facility		$458.59	$458.59	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $458.59 / $739.90	Professional		$401.10	$458.59	$739.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.40 / $1,039.32 / $1,299.15	Professional		$798.40	$1,039.32	$1,299.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.88 / $737.14 / $1,217.84	Facility		$555.88	$737.14	$1,217.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.82 / $950.38 / $3,444.80	Professional		$497.82	$950.38	$3,444.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $850.49 / $1,241.30 / $2,824.47	Facility		$850.49	$1,241.30	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $643.88 / $1,018.26 / $1,241.30	Professional		$643.88	$1,018.26	$1,241.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $579.66 / $788.56 / $927.65	Professional		$579.66	$788.56	$927.65
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 $497.82 / $817.07 / $1,271.00	Professional		$497.82	$817.07	$1,271.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $920.30 / $1,126.00 / $1,126.00	Professional		$920.30	$1,126.00	$1,126.00