Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $391.76 / $3,511.00	Facility		$391.76	$391.76	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.40 / $407.56 / $407.56	Professional		$364.40	$407.56	$407.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.34 / $957.51 / $1,196.89	Professional		$914.34	$957.51	$1,196.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.27 / $662.07 / $1,060.19	Facility		$520.27	$662.07	$1,060.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.90 / $808.54 / $3,827.26	Professional		$475.90	$808.54	$3,827.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $1,093.81 / $2,929.96	Facility		$674.00	$1,093.81	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $937.20 / $1,158.96	Professional		$624.00	$937.20	$1,158.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $495.70 / $709.37 / $834.50	Professional		$495.70	$709.37	$834.50
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 $475.90 / $745.22 / $1,159.23	Professional		$475.90	$745.22	$1,159.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $813.30 / $956.80 / $995.10	Professional		$813.30	$956.80	$995.10