Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.89 / $441.89 / $4,338.00	Facility		$441.89	$441.89	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.03 / $441.89 / $1,076.22	Professional		$373.03	$441.89	$1,076.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.88 / $999.59 / $1,249.48	Professional		$767.88	$999.59	$1,249.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.26 / $746.79 / $1,140.61	Facility		$579.26	$746.79	$1,140.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.81 / $904.01 / $3,309.60	Professional		$452.81	$904.01	$3,309.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $665.14 / $999.99 / $1,408.87	Facility		$665.14	$999.99	$1,408.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $665.14 / $939.91 / $1,215.79	Professional		$665.14	$939.91	$1,215.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $533.38 / $748.58 / $888.84	Professional		$533.38	$748.58	$888.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.34 / $721.82 / $1,214.89	Professional		$396.34	$721.82	$1,214.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $881.80 / $1,078.90 / $1,078.90	Professional		$881.80	$1,078.90	$1,078.90