Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.17 / $531.17 / $3,073.00	Facility		$531.17	$531.17	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.19 / $531.17 / $867.13	Professional		$436.19	$531.17	$867.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.76 / $1,145.28 / $1,431.60	Professional		$1,040.76	$1,145.28	$1,431.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.19 / $638.16 / $1,310.03	Facility		$436.19	$638.16	$1,310.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.97 / $897.07 / $1,571.40	Professional		$457.97	$897.07	$1,571.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.80 / $1,156.50 / $3,141.50	Facility		$898.80	$1,156.50	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $765.98 / $1,156.50 / $1,317.49	Professional		$765.98	$1,156.50	$1,317.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $536.96 / $815.50 / $959.35	Professional		$536.96	$815.50	$959.35
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 $497.59 / $904.61 / $1,395.44	Professional		$497.59	$904.61	$1,395.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $934.90 / $1,143.90 / $1,143.90	Professional		$934.90	$1,143.90	$1,143.90