Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.77 / $469.77 / $4,338.00	Facility		$469.77	$469.77	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.51 / $469.77 / $1,127.75	Professional		$396.51	$469.77	$1,127.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.54 / $1,072.04 / $1,340.05	Professional		$823.54	$1,072.04	$1,340.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.59 / $759.70 / $1,208.10	Facility		$569.59	$759.70	$1,208.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.57 / $946.60 / $3,488.56	Professional		$442.57	$946.60	$3,488.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $866.31 / $1,238.58 / $8,250.46	Facility		$866.31	$1,238.58	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $693.52 / $965.05 / $1,256.77	Professional		$693.52	$965.05	$1,256.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $517.58 / $788.70 / $933.48	Professional		$517.58	$788.70	$933.48
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 $411.06 / $748.60 / $1,279.99	Professional		$411.06	$748.60	$1,279.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $926.00 / $1,133.00 / $1,133.00	Professional		$926.00	$1,133.00	$1,133.00