Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.47 / $489.47 / $3,511.00	Facility		$489.47	$489.47	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.18 / $489.47 / $1,387.07	Professional		$413.18	$489.47	$1,387.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.85 / $1,118.01 / $1,397.51	Professional		$858.85	$1,118.01	$1,397.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.48 / $827.20 / $1,260.52	Facility		$638.48	$827.20	$1,260.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.30 / $992.10 / $3,635.84	Professional		$461.30	$992.10	$3,635.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $902.94 / $1,205.21 / $3,711.03	Facility		$902.94	$1,205.21	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $726.85 / $1,009.00 / $1,312.33	Professional		$726.85	$1,009.00	$1,312.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $822.91 / $972.94	Professional		$598.54	$822.91	$972.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.79 / $874.00 / $1,335.52	Professional		$456.79	$874.00	$1,335.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $965.20 / $1,180.90 / $1,180.90	Professional		$965.20	$1,180.90	$1,180.90