Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.87 / $473.87 / $3,511.00	Facility		$473.87	$473.87	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.25 / $473.87 / $1,124.50	Professional		$402.25	$473.87	$1,124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.43 / $1,084.51 / $1,355.63	Professional		$788.43	$1,084.51	$1,355.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.09 / $787.69 / $1,322.65	Facility		$584.09	$787.69	$1,322.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.96 / $1,031.21 / $3,569.61	Professional		$500.96	$1,031.21	$3,569.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $893.75 / $1,185.58 / $1,969.98	Facility		$893.75	$1,185.58	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $766.21 / $1,036.36 / $1,246.77	Professional		$766.21	$1,036.36	$1,246.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $592.49 / $807.98 / $921.19	Professional		$592.49	$807.98	$921.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $3,200.82	Facility		$2,714.00	$2,714.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $540.16 / $908.44 / $1,338.74	Professional		$540.16	$908.44	$1,338.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $913.90 / $1,118.09 / $1,118.09	Professional		$913.90	$1,118.09	$1,118.09