Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.09 / $455.09 / $2,290.00	Facility		$455.09	$455.09	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.42 / $455.09 / $972.59	Professional		$384.42	$455.09	$972.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $1,040.88 / $1,301.09	Professional		$799.60	$1,040.88	$1,301.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.14 / $768.63 / $1,164.43	Facility		$585.14	$768.63	$1,164.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.22 / $901.87 / $3,378.00	Professional		$429.22	$901.87	$3,378.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $660.41 / $1,119.60 / $3,711.03	Facility		$660.41	$1,119.60	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.41 / $929.25 / $1,213.08	Professional		$660.41	$929.25	$1,213.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $760.38 / $904.37	Professional		$544.79	$760.38	$904.37
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 $417.79 / $794.56 / $1,235.98	Professional		$417.79	$794.56	$1,235.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $897.20 / $1,097.70 / $1,097.70	Professional		$897.20	$1,097.70	$1,097.70