Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.08 / $412.08 / $3,073.00	Facility		$412.08	$412.08	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.57 / $412.08 / $448.70	Professional		$372.57	$412.08	$448.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.36 / $984.00 / $1,230.00	Professional		$715.36	$984.00	$1,230.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.65 / $696.42 / $1,265.17	Facility		$446.65	$696.42	$1,265.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.45 / $877.20 / $3,888.00	Professional		$524.45	$877.20	$3,888.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $1,097.07 / $3,733.42	Facility		$683.24	$1,097.07	$3,733.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $683.24 / $1,008.00 / $1,232.22	Professional		$683.24	$1,008.00	$1,232.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $567.67 / $769.93 / $895.96	Professional		$567.67	$769.93	$895.96
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 $524.45 / $793.98 / $1,235.08	Professional		$524.45	$793.98	$1,235.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $888.80 / $1,087.50 / $1,087.50	Professional		$888.80	$1,087.50	$1,087.50