Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,290.87 / $4,365.16	Facility		$436.52	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $707.95	Professional		$426.58	$467.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,318.26	Professional		$1,000.00	$1,047.13	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,258.93	Facility		$562.34	$691.83	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $3,467.37	Professional		$426.58	$831.76	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,096.48	Professional		$977.24	$1,000.00	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $891.25	Professional		$616.60	$776.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,288.25	Professional		$512.86	$870.96	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,096.48	Professional		$891.25	$1,047.13	$1,096.48