Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.06 / $455.06 / $3,511.00	Facility		$455.06	$455.06	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $455.06 / $874.61	Professional		$384.29	$455.06	$874.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $1,040.88 / $1,301.09	Professional		$799.60	$1,040.88	$1,301.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.34 / $769.05 / $1,169.74	Facility		$593.34	$769.05	$1,169.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $919.53 / $4,139.31	Professional		$461.96	$919.53	$4,139.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $839.70 / $1,135.94 / $3,711.03	Facility		$839.70	$1,135.94	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $673.48 / $985.21 / $1,211.25	Professional		$673.48	$985.21	$1,211.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $552.54 / $763.92 / $899.84	Professional		$552.54	$763.92	$899.84
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 $461.96 / $810.06 / $1,240.82	Professional		$461.96	$810.06	$1,240.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $892.70 / $1,092.20 / $1,092.20	Professional		$892.70	$1,092.20	$1,092.20