Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.37 / $492.37 / $3,073.00	Facility		$492.37	$492.37	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $492.37 / $784.86	Professional		$408.26	$492.37	$784.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.70 / $1,097.75 / $1,372.19	Professional		$1,058.70	$1,097.75	$1,372.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.51 / $773.82 / $1,289.40	Facility		$495.51	$773.82	$1,289.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $934.79 / $3,621.52	Professional		$534.16	$934.79	$3,621.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,266.78 / $2,197.38	Facility		$748.00	$1,266.78	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $1,085.17 / $1,333.11	Professional		$778.00	$1,085.17	$1,333.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $531.54 / $794.92 / $978.11	Professional		$531.54	$794.92	$978.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $890.28 / $1,323.76	Professional		$534.16	$890.28	$1,323.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.20 / $1,121.50 / $1,166.30	Professional		$953.20	$1,121.50	$1,166.30