Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.83 / $521.83 / $3,511.00	Facility		$521.83	$521.83	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.74 / $521.83 / $521.83	Professional		$485.74	$521.83	$521.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.61 / $1,093.85 / $1,367.32	Professional		$1,031.61	$1,093.85	$1,367.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.34 / $881.89 / $1,300.08	Facility		$638.34	$881.89	$1,300.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $533.63 / $970.24 / $3,840.47	Professional		$533.63	$970.24	$3,840.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $1,203.76 / $2,482.96	Facility		$867.00	$1,203.76	$2,482.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $903.56 / $1,064.77 / $1,292.29	Professional		$903.56	$1,064.77	$1,292.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $609.35 / $810.54 / $946.41	Professional		$609.35	$810.54	$946.41
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 $582.14 / $1,016.40 / $1,356.43	Professional		$582.14	$1,016.40	$1,356.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $976.20 / $1,148.50 / $1,194.40	Professional		$976.20	$1,148.50	$1,194.40