Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $3,511.00	Facility		$367.50	$367.50	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.25 / $367.50 / $367.50	Professional		$363.25	$367.50	$367.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.99 / $716.77 / $895.97	Professional		$675.99	$716.77	$895.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $618.50 / $1,462.65	Facility		$367.50	$618.50	$1,462.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,936.00 / $3,425.33 / $4,717.17	Facility		$2,936.00	$3,425.33	$4,717.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.78 / $663.79 / $826.28	Professional		$602.78	$663.79	$826.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $509.03 / $661.74	Professional		$509.03	$509.03	$661.74
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $641.70 / $667.40	Professional		$545.40	$641.70	$667.40