Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.50 / $495.69 / $2,463.60	Facility		$317.50	$495.69	$2,463.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $458.76 / $789.01	Professional		$295.29	$458.76	$789.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.62 / $910.57 / $1,392.64	Professional		$649.62	$910.57	$1,392.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.51 / $701.05 / $1,136.60	Facility		$454.51	$701.05	$1,136.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.95 / $1,136.92 / $3,590.80	Professional		$499.95	$1,136.92	$3,590.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $728.74 / $1,089.00 / $3,711.03	Facility		$728.74	$1,089.00	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $649.62 / $827.84 / $1,285.17	Professional		$649.62	$827.84	$1,285.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $473.81 / $623.66 / $932.83	Professional		$473.81	$623.66	$932.83
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 $442.07 / $893.07 / $1,389.22	Professional		$442.07	$893.07	$1,389.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $615.40 / $753.00 / $1,132.30	Professional		$615.40	$753.00	$1,132.30