Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.59 / $372.59 / $3,511.00	Facility		$372.59	$372.59	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $416.88 / $458.57	Professional		$346.23	$416.88	$458.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.48 / $931.02 / $1,163.78	Professional		$902.48	$931.02	$1,163.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.11 / $629.67 / $1,142.95	Facility		$495.11	$629.67	$1,142.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.67 / $816.12 / $3,341.83	Professional		$489.67	$816.12	$3,341.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $1,069.88 / $3,079.87	Facility		$701.00	$1,069.88	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $902.48 / $1,090.50	Professional		$687.00	$902.48	$1,090.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $681.88 / $802.16	Professional		$508.15	$681.88	$802.16
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 $533.13 / $731.68 / $1,138.17	Professional		$533.13	$731.68	$1,138.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $781.80 / $919.70 / $956.50	Professional		$781.80	$919.70	$956.50