Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.39 / $379.39 / $3,073.00	Facility		$379.39	$379.39	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.48 / $379.39 / $1,136.39	Professional		$342.48	$379.39	$1,136.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.54 / $902.98 / $1,128.72	Professional		$875.54	$902.98	$1,128.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.75 / $641.16 / $1,052.41	Facility		$489.75	$641.16	$1,052.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.39 / $813.98 / $4,956.60	Professional		$488.39	$813.98	$4,956.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $1,036.67 / $3,079.87	Facility		$677.00	$1,036.67	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $679.00 / $875.54 / $1,055.67	Professional		$679.00	$875.54	$1,055.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $494.75 / $661.53 / $778.22	Professional		$494.75	$661.53	$778.22
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 $488.39 / $793.58 / $1,105.47	Professional		$488.39	$793.58	$1,105.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $772.00 / $908.30 / $944.60	Professional		$772.00	$908.30	$944.60