Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.90 / $515.90 / $3,073.00	Facility		$515.90	$515.90	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.08 / $515.90 / $1,212.64	Professional		$415.08	$515.90	$1,212.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.57 / $1,097.75 / $1,372.19	Professional		$997.57	$1,097.75	$1,372.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.26 / $729.22 / $1,193.38	Facility		$464.26	$729.22	$1,193.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $518.47 / $864.12 / $3,553.68	Professional		$518.47	$864.12	$3,553.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $1,178.39 / $5,269.25	Facility		$694.00	$1,178.39	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $1,011.98 / $1,300.67	Professional		$614.00	$1,011.98	$1,300.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $516.15 / $746.81 / $925.07	Professional		$516.15	$746.81	$925.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $11,831.32	Facility		$2,714.00	$2,714.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $518.47 / $1,006.61 / $1,267.25	Professional		$518.47	$1,006.61	$1,267.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $881.20 / $1,036.80 / $1,078.20	Professional		$881.20	$1,036.80	$1,078.20