Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.90 / $427.90 / $3,073.00	Facility		$427.90	$427.90	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $427.90 / $456.59	Professional		$387.52	$427.90	$456.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.65 / $1,028.41 / $1,285.52	Professional		$747.65	$1,028.41	$1,285.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.52 / $709.29 / $1,269.70	Facility		$465.52	$709.29	$1,269.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.09 / $853.80 / $3,403.68	Professional		$487.09	$853.80	$3,403.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $684.50 / $1,127.90 / $4,599.72	Facility		$684.50	$1,127.90	$4,599.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.50 / $1,033.47 / $1,256.24	Professional		$684.50	$1,033.47	$1,256.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $569.35 / $780.86 / $918.60	Professional		$569.35	$780.86	$918.60
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 $487.09 / $809.93 / $1,259.89	Professional		$487.09	$809.93	$1,259.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $1,115.00 / $1,115.00	Professional		$911.30	$1,115.00	$1,115.00