Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.38 / $395.38 / $3,511.00	Facility		$395.38	$395.38	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.14 / $395.38 / $1,136.52	Professional		$368.14	$395.38	$1,136.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.92 / $967.64 / $1,209.55	Professional		$919.92	$967.64	$1,209.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.04 / $668.19 / $1,066.92	Facility		$516.04	$668.19	$1,066.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $813.87 / $3,221.28	Professional		$477.36	$813.87	$3,221.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,102.46 / $4,114.05	Facility		$686.00	$1,102.46	$4,114.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $942.92 / $1,169.76	Professional		$622.00	$942.92	$1,169.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $496.13 / $692.70 / $841.62	Professional		$496.13	$692.70	$841.62
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 $477.36 / $795.60 / $1,167.94	Professional		$477.36	$795.60	$1,167.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.20 / $965.00 / $1,003.50	Professional		$820.20	$965.00	$1,003.50