Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.95 / $546.95 / $2,290.00	Facility		$546.95	$546.95	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $546.95 / $1,315.72	Professional		$461.23	$546.95	$1,315.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.60 / $1,246.56 / $1,558.20	Professional		$957.60	$1,246.56	$1,558.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.56 / $851.93 / $1,401.75	Facility		$662.56	$851.93	$1,401.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.67 / $1,087.80 / $4,066.16	Professional		$514.67	$1,087.80	$4,066.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $799.03 / $1,224.16 / $1,694.61	Facility		$799.03	$1,224.16	$1,694.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $799.03 / $1,117.73 / $1,466.25	Professional		$799.03	$1,117.73	$1,466.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $655.48 / $914.93 / $1,088.08	Professional		$655.48	$914.93	$1,088.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $957.26 / $1,487.72	Professional		$569.79	$957.26	$1,487.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,079.40 / $1,320.70 / $1,320.70	Professional		$1,079.40	$1,320.70	$1,320.70