Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.94 / $459.94 / $3,511.00	Facility		$459.94	$459.94	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.29 / $459.94 / $1,391.89	Professional		$378.29	$459.94	$1,391.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.67 / $1,001.71 / $1,239.74	Professional		$991.67	$1,001.71	$1,239.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.95 / $777.30 / $1,266.76	Facility		$540.95	$777.30	$1,266.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.42 / $926.04 / $3,394.08	Professional		$549.42	$926.04	$3,394.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $718.34 / $1,125.64 / $1,463.11	Facility		$718.34	$1,125.64	$1,463.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $832.14 / $1,029.83 / $1,261.05	Professional		$832.14	$1,029.83	$1,261.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $601.13 / $802.87 / $915.36	Professional		$601.13	$802.87	$915.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.42 / $939.38 / $1,275.11	Professional		$549.42	$939.38	$1,275.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $1,025.90 / $1,066.90	Professional		$872.00	$1,025.90	$1,066.90