Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.85 / $493.85 / $3,511.00	Facility		$493.85	$493.85	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $493.85 / $807.25	Professional		$405.70	$493.85	$807.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.42 / $1,063.47 / $1,329.34	Professional		$966.42	$1,063.47	$1,329.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.70 / $658.27 / $1,221.49	Facility		$405.70	$658.27	$1,221.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.80 / $835.52 / $1,463.26	Professional		$426.80	$835.52	$1,463.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $852.74 / $1,078.70 / $1,821.47	Facility		$852.74	$1,078.70	$1,821.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $713.98 / $1,078.70 / $1,226.21	Professional		$713.98	$1,078.70	$1,226.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $500.64 / $758.86 / $892.72	Professional		$500.64	$758.86	$892.72
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 $473.76 / $928.50 / $1,299.70	Professional		$473.76	$928.50	$1,299.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,064.50 / $1,064.50	Professional		$870.00	$1,064.50	$1,064.50