Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.32 / $464.32 / $3,073.00	Facility		$464.32	$464.32	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.63 / $464.32 / $1,275.72	Professional		$431.63	$464.32	$1,275.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.33 / $1,162.42 / $1,453.02	Professional		$1,056.33	$1,162.42	$1,453.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.14 / $729.45 / $1,182.02	Facility		$550.14	$729.45	$1,182.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.62 / $1,088.59 / $3,755.44	Professional		$541.62	$1,088.59	$3,755.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,247.34 / $4,114.05	Facility		$764.00	$1,247.34	$4,114.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,039.05 / $1,289.57	Professional		$696.00	$1,039.05	$1,289.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $540.75 / $764.61 / $980.70	Professional		$540.75	$764.61	$980.70
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 $646.52 / $994.64 / $1,344.87	Professional		$646.52	$994.64	$1,344.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $955.80 / $1,124.40 / $1,169.40	Professional		$955.80	$1,124.40	$1,169.40