Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $3,073.00 / $3,233.13	Facility		$92.18	$3,073.00	$3,233.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $1,000.00 / $3,233.13	Professional		$90.94	$1,000.00	$3,233.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $1,981.74 / $4,168.59	Professional		$103.13	$1,981.74	$4,168.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $821.00 / $8,236.02	Facility		$127.61	$821.00	$8,236.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $714.32 / $3,893.52 / $22,738.24	Professional		$714.32	$3,893.52	$22,738.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $2,288.87 / $5,065.85	Facility		$125.07	$2,288.87	$5,065.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $504.42 / $5,065.85	Professional		$125.07	$504.42	$5,065.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $3,028.84 / $5,620.91	Professional		$135.53	$3,028.84	$5,620.91
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,254.14 / $4,303.35 / $6,158.18	Professional		$2,254.14	$4,303.35	$6,158.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $137.00 / $8,278.70	Professional		$113.00	$137.00	$8,278.70