Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,090.30 / $4,365.16	Facility		$512.86	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $912.01	Professional		$446.68	$512.86	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,479.11	Professional		$870.96	$1,174.90	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,174.90	Facility		$616.60	$794.33	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $3,715.35	Professional		$416.87	$741.31	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,047.13	Professional		$933.25	$1,023.29	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $977.24	Professional		$933.25	$933.25	$977.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,000.00	Professional		$467.74	$758.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,288.25	Professional		$478.63	$870.96	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,202.26	Professional		$977.24	$1,148.15	$1,202.26