Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,778.28 / $3,630.78	Facility		$380.19	$1,778.28	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $316.23 / $1,513.56	Professional		$74.13	$316.23	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $602.56 / $1,071.52	Professional		$190.55	$602.56	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $457.09 / $1,148.15	Facility		$104.71	$457.09	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $870.96 / $2,691.53	Professional		$204.17	$870.96	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $1,096.48	Professional		$181.97	$204.17	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $933.25	Professional		$177.83	$177.83	$933.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $575.44 / $741.31	Professional		$134.90	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $1,258.93	Professional		$112.20	$239.88	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $776.25	Professional		$147.91	$181.97	$776.25