Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.21 / $409.21 / $2,290.00	Facility		$409.21	$409.21	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $409.21 / $1,300.27	Professional		$380.60	$409.21	$1,300.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.44 / $1,023.74 / $1,279.67	Professional		$993.44	$1,023.74	$1,279.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.26 / $691.56 / $1,260.55	Facility		$544.26	$691.56	$1,260.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.87 / $899.78 / $3,384.32	Professional		$539.87	$899.78	$3,384.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $1,186.56 / $3,079.87	Facility		$815.00	$1,186.56	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $843.98 / $993.44 / $1,200.99	Professional		$843.98	$993.44	$1,200.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $750.78 / $883.02	Professional		$564.79	$750.78	$883.02
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 $539.87 / $899.78 / $1,262.52	Professional		$539.87	$899.78	$1,262.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $860.60 / $1,012.40 / $1,052.90	Professional		$860.60	$1,012.40	$1,052.90