Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.54 / $520.54 / $3,511.00	Facility		$520.54	$520.54	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.46 / $520.54 / $853.92	Professional		$426.46	$520.54	$853.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.56 / $1,116.45 / $1,395.56	Professional		$1,014.56	$1,116.45	$1,395.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.46 / $632.54 / $1,289.90	Facility		$426.46	$632.54	$1,289.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.49 / $883.26 / $1,542.40	Professional		$451.49	$883.26	$1,542.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.48 / $1,137.64 / $2,380.56	Facility		$912.48	$1,137.64	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $754.60 / $1,139.91 / $1,294.67	Professional		$754.60	$1,139.91	$1,294.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $528.27 / $797.36 / $938.01	Professional		$528.27	$797.36	$938.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.82 / $886.32 / $1,373.96	Professional		$505.82	$886.32	$1,373.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $914.10 / $1,118.50 / $1,118.50	Professional		$914.10	$1,118.50	$1,118.50