Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.49 / $691.49 / $2,290.00	Facility		$691.49	$691.49	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.05 / $691.49 / $1,666.60	Professional		$583.05	$691.49	$1,666.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.35 / $1,576.90 / $1,971.12	Professional		$1,211.35	$1,576.90	$1,971.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $837.57 / $1,141.66 / $1,775.43	Facility		$837.57	$1,141.66	$1,775.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $651.20 / $1,316.68 / $5,142.64	Professional		$651.20	$1,316.68	$5,142.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $969.86 / $1,550.21 / $2,020.28	Facility		$969.86	$1,550.21	$2,020.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $969.86 / $1,372.39 / $1,855.11	Professional		$969.86	$1,372.39	$1,855.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $791.99 / $1,166.23 / $1,377.90	Professional		$791.99	$1,166.23	$1,377.90
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.69 / $1,213.63 / $1,887.87	Professional		$689.69	$1,213.63	$1,887.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.90 / $1,672.50 / $1,672.50	Professional		$1,366.90	$1,672.50	$1,672.50