Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.59 / $447.59 / $6,020.71	Facility		$447.59	$447.59	$6,020.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.32 / $446.09 / $702.18	Professional		$378.32	$446.09	$702.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $1,026.07 / $1,282.58	Professional		$788.22	$1,026.07	$1,282.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.46 / $756.43 / $1,142.40	Facility		$543.46	$756.43	$1,142.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.88 / $904.76 / $4,047.02	Professional		$422.88	$904.76	$4,047.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $826.10 / $1,101.20 / $1,969.98	Facility		$826.10	$1,101.20	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $662.22 / $969.39 / $1,190.29	Professional		$662.22	$969.39	$1,190.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $525.63 / $742.09 / $886.90	Professional		$525.63	$742.09	$886.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $784.37 / $1,220.13	Professional		$473.92	$784.37	$1,220.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $879.80 / $1,076.50 / $1,076.50	Professional		$879.80	$1,076.50	$1,076.50