Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.85 / $456.85 / $2,290.00	Facility		$456.85	$456.85	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.66 / $456.85 / $1,416.58	Professional		$411.66	$456.85	$1,416.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,078.27 / $1,347.84	Professional		$1,058.22	$1,078.27	$1,347.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $474.70 / $772.08 / $1,321.90	Facility		$474.70	$772.08	$1,321.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $587.02 / $978.36 / $3,613.44	Professional		$587.02	$978.36	$3,613.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $1,277.21 / $3,079.87	Facility		$871.00	$1,277.21	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,058.22 / $1,285.07	Professional		$824.00	$1,058.22	$1,285.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $820.40 / $940.59	Professional		$615.41	$820.40	$940.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.10 / $876.40 / $1,363.29	Professional		$538.10	$876.40	$1,363.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.10 / $1,097.80 / $1,141.70	Professional		$933.10	$1,097.80	$1,141.70