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 / $524.81 / $588.84	Professional		$446.68	$524.81	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,412.54	Professional		$1,023.29	$1,122.02	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $1,202.26	Facility		$588.84	$707.95	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $3,548.13	Professional		$407.38	$812.83	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,023.29	Professional		$912.01	$1,023.29	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $933.25	Professional		$501.19	$776.25	$933.25
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 / $1,258.93	Professional		$478.63	$870.96	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,071.52	Professional		$891.25	$1,047.13	$1,071.52