Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $534.91 / $4,338.00	Facility		$534.91	$534.91	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.78 / $534.91 / $879.24	Professional		$438.78	$534.91	$879.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.26 / $1,154.63 / $1,443.28	Professional		$1,049.26	$1,154.63	$1,443.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.78 / $741.54 / $1,338.91	Facility		$438.78	$741.54	$1,338.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $909.95 / $1,596.93	Professional		$465.44	$909.95	$1,596.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $943.05 / $1,171.94 / $2,380.56	Facility		$943.05	$1,171.94	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $782.20 / $1,179.78 / $1,333.11	Professional		$782.20	$1,179.78	$1,333.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $825.40 / $971.00	Professional		$546.41	$825.40	$971.00
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 $557.33 / $912.53 / $1,415.48	Professional		$557.33	$912.53	$1,415.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $946.30 / $1,157.80 / $1,157.80	Professional		$946.30	$1,157.80	$1,157.80