Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.79 / $469.79 / $4,338.00	Facility		$469.79	$469.79	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.66 / $497.24 / $601.46	Professional		$436.66	$497.24	$601.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.29 / $1,167.86 / $1,459.84	Professional		$1,061.29	$1,167.86	$1,459.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.26 / $792.17 / $1,357.63	Facility		$586.26	$792.17	$1,357.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.53 / $949.43 / $3,909.60	Professional		$542.53	$949.43	$3,909.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $1,299.09 / $2,929.96	Facility		$769.00	$1,299.09	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $656.00 / $1,084.64 / $1,459.20	Professional		$656.00	$1,084.64	$1,459.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $557.59 / $833.15 / $1,047.33	Professional		$557.59	$833.15	$1,047.33
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 $599.73 / $1,094.41 / $1,370.85	Professional		$599.73	$1,094.41	$1,370.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,020.70 / $1,200.80 / $1,248.80	Professional		$1,020.70	$1,200.80	$1,248.80