Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.20 / $463.20 / $3,073.00	Facility		$463.20	$463.20	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.51 / $463.20 / $1,395.18	Professional		$418.51	$463.20	$1,395.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.84 / $1,100.86 / $1,376.09	Professional		$1,069.84	$1,100.86	$1,376.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.47 / $782.81 / $1,295.14	Facility		$598.47	$782.81	$1,295.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.08 / $966.80 / $4,505.85	Professional		$580.08	$966.80	$4,505.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,272.70 / $4,555.17	Facility		$830.00	$1,272.70	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $1,069.84 / $1,291.06	Professional		$848.00	$1,069.84	$1,291.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $607.62 / $808.35 / $950.94	Professional		$607.62	$808.35	$950.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.74 / $1,015.14 / $1,355.31	Professional		$531.74	$1,015.14	$1,355.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $943.40 / $1,109.80 / $1,154.20	Professional		$943.40	$1,109.80	$1,154.20