Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.44 / $425.44 / $2,290.00	Facility		$425.44	$425.44	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.57 / $425.44 / $777.25	Professional		$359.57	$425.44	$777.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.53 / $973.10 / $1,216.36	Professional		$747.53	$973.10	$1,216.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $521.72 / $697.20 / $1,084.02	Facility		$521.72	$697.20	$1,084.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.21 / $851.28 / $3,156.64	Professional		$401.21	$851.28	$3,156.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $1,046.19 / $3,711.03	Facility		$646.00	$1,046.19	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $622.71 / $866.42 / $1,132.92	Professional		$622.71	$866.42	$1,132.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $707.88 / $843.56	Professional		$511.20	$707.88	$843.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $741.31 / $1,153.15	Professional		$369.65	$741.31	$1,153.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $836.80 / $1,023.90 / $1,023.90	Professional		$836.80	$1,023.90	$1,023.90