Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.45 / $438.45 / $3,073.00	Facility		$438.45	$438.45	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.19 / $438.45 / $716.07	Professional		$360.19	$438.45	$716.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.22 / $946.61 / $1,183.26	Professional		$860.22	$946.61	$1,183.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $360.19 / $519.99 / $1,082.88	Facility		$360.19	$519.99	$1,082.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $742.50 / $1,299.27	Professional		$379.05	$742.50	$1,299.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.91 / $956.79 / $1,539.00	Facility		$770.91	$956.79	$1,539.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.54 / $956.79 / $1,088.09	Professional		$633.54	$956.79	$1,088.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $444.26 / $673.63 / $792.45	Professional		$444.26	$673.63	$792.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $4,665.92	Facility		$2,714.00	$2,714.00	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $742.50 / $1,155.00	Professional		$379.05	$742.50	$1,155.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $772.30 / $944.90 / $944.90	Professional		$772.30	$944.90	$944.90