Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.32 / $469.32 / $3,073.00	Facility		$469.32	$469.32	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.91 / $469.32 / $768.51	Professional		$384.91	$469.32	$768.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.52 / $1,015.17 / $1,268.96	Professional		$922.52	$1,015.17	$1,268.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.91 / $568.37 / $1,153.43	Facility		$384.91	$568.37	$1,153.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.73 / $789.82 / $1,379.55	Professional		$403.73	$789.82	$1,379.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $825.26 / $1,017.19 / $1,539.00	Facility		$825.26	$1,017.19	$1,539.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $674.23 / $1,017.19 / $1,166.17	Professional		$674.23	$1,017.19	$1,166.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $471.88 / $721.34 / $852.61	Professional		$471.88	$721.34	$852.61
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 $481.46 / $799.22 / $1,228.60	Professional		$481.46	$799.22	$1,228.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $830.90 / $1,016.70 / $1,016.70	Professional		$830.90	$1,016.70	$1,016.70