Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $4,365.16	Facility		$302.00	$1,202.26	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,737.80	Professional		$302.00	$588.84	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $1,905.46	Professional		$691.83	$1,348.96	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $794.33 / $1,584.89	Facility		$380.19	$794.33	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,230.27 / $4,786.30	Professional		$537.03	$1,230.27	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,412.54	Professional		$691.83	$776.25	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,288.25	Professional		$676.08	$676.08	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,230.27	Professional		$524.81	$933.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,513.56	Professional		$398.11	$794.33	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,380.38	Professional		$562.34	$691.83	$1,380.38