Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,090.30 / $4,365.16	Facility		$416.87	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $588.84	Professional		$371.54	$426.58	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,318.26	Professional		$1,000.00	$1,047.13	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,148.15	Facility		$562.34	$660.69	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $3,388.44	Professional		$416.87	$794.33	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,000.00	Professional		$912.01	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $891.25	Professional		$512.86	$741.31	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,230.27	Professional		$467.74	$812.83	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,071.52	Professional		$870.96	$1,023.29	$1,071.52