Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.40 / $417.40 / $2,290.00	Facility		$417.40	$417.40	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.82 / $417.40 / $998.33	Professional		$352.82	$417.40	$998.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.16 / $958.29 / $1,197.86	Professional		$736.16	$958.29	$1,197.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.83 / $661.85 / $1,037.67	Facility		$506.83	$661.85	$1,037.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $394.64 / $780.36 / $3,090.16	Professional		$394.64	$780.36	$3,090.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $1,024.08 / $3,711.03	Facility		$646.00	$1,024.08	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $807.48 / $1,101.05	Professional		$571.37	$807.48	$1,101.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $465.98 / $677.80 / $828.03	Professional		$465.98	$677.80	$828.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.35 / $717.32 / $1,115.83	Professional		$366.35	$717.32	$1,115.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $1,005.10 / $1,005.10	Professional		$821.40	$1,005.10	$1,005.10