Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.54 / $463.54 / $3,073.00	Facility		$463.54	$463.54	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.81 / $463.54 / $1,396.17	Professional		$418.81	$463.54	$1,396.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.59 / $1,101.65 / $1,377.06	Professional		$1,070.59	$1,101.65	$1,377.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.90 / $783.38 / $1,296.92	Facility		$598.90	$783.38	$1,296.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.94 / $968.24 / $4,505.85	Professional		$580.94	$968.24	$4,505.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $1,273.59 / $3,079.87	Facility		$835.00	$1,273.59	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $1,070.59 / $1,291.06	Professional		$861.00	$1,070.59	$1,291.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $809.38 / $951.59	Professional		$608.04	$809.38	$951.59
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 $491.40 / $871.92 / $1,356.32	Professional		$491.40	$871.92	$1,356.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $944.00 / $1,110.59 / $1,155.00	Professional		$944.00	$1,110.59	$1,155.00