Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.27 / $505.27 / $3,073.00	Facility		$505.27	$505.27	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $404.93 / $763.48	Professional		$403.66	$404.93	$763.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.33 / $1,074.38 / $1,342.97	Professional		$976.33	$1,074.38	$1,342.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $724.06 / $1,170.38	Facility		$454.92	$724.06	$1,170.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.02 / $850.04 / $3,482.16	Professional		$510.02	$850.04	$3,482.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,162.05 / $2,440.29	Facility		$686.00	$1,162.05	$2,440.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $996.37 / $1,275.45	Professional		$587.00	$996.37	$1,275.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $492.70 / $735.39 / $906.31	Professional		$492.70	$735.39	$906.31
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 $510.02 / $850.04 / $1,245.02	Professional		$510.02	$850.04	$1,245.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $863.40 / $1,015.70 / $1,056.40	Professional		$863.40	$1,015.70	$1,056.40