Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.14 / $975.04 / $1,783.98	Facility		$308.14	$975.04	$1,783.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.68 / $779.40 / $1,783.98	Professional		$280.68	$779.40	$1,783.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.97 / $793.71 / $4,324.01	Professional		$634.97	$793.71	$4,324.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.63 / $1,428.92 / $3,902.91	Facility		$406.63	$1,428.92	$3,902.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,734.68 / $4,096.82 / $11,287.52	Professional		$1,734.68	$4,096.82	$11,287.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $717.12 / $2,780.21 / $4,281.09	Facility		$717.12	$2,780.21	$4,281.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $640.46 / $2,833.65 / $4,281.09	Professional		$640.46	$2,833.65	$4,281.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $483.91 / $2,129.84 / $2,856.71	Professional		$483.91	$2,129.84	$2,856.71
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 $487.77 / $2,891.14 / $4,556.50	Professional		$487.77	$2,891.14	$4,556.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $587.20 / $718.40 / $3,605.20	Professional		$587.20	$718.40	$3,605.20