Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.56 / $444.56 / $3,511.00	Facility		$444.56	$444.56	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.22 / $444.56 / $466.15	Professional		$403.22	$444.56	$466.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.37 / $1,072.04 / $1,340.05	Professional		$779.37	$1,072.04	$1,340.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $728.22 / $1,283.32	Facility		$461.38	$728.22	$1,283.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.49 / $893.22 / $3,533.20	Professional		$480.49	$893.22	$3,533.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $689.89 / $1,170.67 / $3,285.23	Facility		$689.89	$1,170.67	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $1,051.08 / $1,292.29	Professional		$612.00	$1,051.08	$1,292.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.79 / $779.21 / $953.53	Professional		$575.79	$779.21	$953.53
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 $491.27 / $827.23 / $1,286.80	Professional		$491.27	$827.23	$1,286.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $945.90 / $1,157.40 / $1,157.40	Professional		$945.90	$1,157.40	$1,157.40