Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.53 / $418.53 / $3,073.00	Facility		$418.53	$418.53	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $418.53 / $1,210.85	Professional		$389.49	$418.53	$1,210.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.31 / $1,025.30 / $1,281.61	Professional		$979.31	$1,025.30	$1,281.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.29 / $707.32 / $1,137.72	Facility		$543.29	$707.32	$1,137.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $864.62 / $3,411.44	Professional		$511.20	$864.62	$3,411.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $1,174.55 / $2,929.96	Facility		$723.00	$1,174.55	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $1,003.79 / $1,238.23	Professional		$660.00	$1,003.79	$1,238.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $514.17 / $743.21 / $893.37	Professional		$514.17	$743.21	$893.37
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 $511.20 / $797.33 / $1,240.29	Professional		$511.20	$797.33	$1,240.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.60 / $1,024.30 / $1,065.30	Professional		$870.60	$1,024.30	$1,065.30