Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,090.30 / $4,365.16	Facility		$436.52	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $1,412.54	Professional		$426.58	$489.78	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,318.26	Professional		$1,023.29	$1,071.52	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $1,288.25	Facility		$575.44	$741.31	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $851.14 / $3,890.45	Professional		$426.58	$851.14	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,122.02	Professional		$977.24	$1,023.29	$1,122.02
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 $630.96 / $794.33 / $912.01	Professional		$630.96	$794.33	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,318.26	Professional		$512.86	$891.25	$1,318.26
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