Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.38 / $422.38 / $3,511.00	Facility		$422.38	$422.38	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.02 / $422.38 / $688.24	Professional		$359.02	$422.38	$688.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.52 / $976.99 / $1,221.24	Professional		$750.52	$976.99	$1,221.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.08 / $713.82 / $1,130.17	Facility		$554.08	$713.82	$1,130.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.56 / $885.95 / $3,239.10	Professional		$424.56	$885.95	$3,239.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $788.28 / $1,089.00 / $3,711.03	Facility		$788.28	$1,089.00	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $946.13 / $1,124.73	Professional		$651.29	$946.13	$1,124.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $517.12 / $718.87 / $840.97	Professional		$517.12	$718.87	$840.97
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 $374.86 / $780.48 / $1,177.36	Professional		$374.86	$780.48	$1,177.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $834.30 / $1,020.80 / $1,020.80	Professional		$834.30	$1,020.80	$1,020.80