Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.67 / $545.11 / $1,612.46	Facility		$357.67	$545.11	$1,612.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $506.87 / $839.38	Professional		$335.63	$506.87	$839.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.77 / $1,004.07 / $1,493.92	Professional		$734.77	$1,004.07	$1,493.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.17 / $793.48 / $1,232.40	Facility		$506.17	$793.48	$1,232.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.36 / $1,257.42 / $3,894.80	Professional		$580.36	$1,257.42	$3,894.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $828.55 / $1,130.27 / $3,711.03	Facility		$828.55	$1,130.27	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $736.94 / $951.19 / $1,424.38	Professional		$736.94	$951.19	$1,424.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.20 / $687.01 / $1,004.64	Professional		$512.20	$687.01	$1,004.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $202.43 / $202.43 / $202.43	Professional	AS	$202.43	$202.43	$202.43
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 $514.89 / $978.91 / $1,522.75	Professional		$514.89	$978.91	$1,522.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $681.50 / $833.90 / $1,219.40	Professional		$681.50	$833.90	$1,219.40