Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $660.69 / $4,365.16	Facility		$120.23	$660.69	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $426.58 / $660.69	Professional		$107.15	$426.58	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,412.54 / $1,862.09	Professional		$281.84	$1,412.54	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $776.25 / $1,659.59	Facility		$154.88	$776.25	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,479.11 / $4,677.35	Professional		$302.00	$1,479.11	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $1,862.09	Professional		$269.15	$302.00	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $1,584.89	Professional		$269.15	$269.15	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,000.00 / $1,445.44	Professional		$204.17	$1,000.00	$1,445.44
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 $169.82 / $363.08 / $2,137.96	Professional		$169.82	$363.08	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $1,318.26	Professional		$218.78	$269.15	$1,318.26