Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.32 / $440.52 / $4,338.00	Facility		$299.32	$440.52	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $401.37 / $681.12	Professional		$275.23	$401.37	$681.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $857.98 / $1,236.82	Professional		$613.65	$857.98	$1,236.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.55 / $622.61 / $1,009.44	Facility		$428.55	$622.61	$1,009.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.05 / $1,013.18 / $3,197.76	Professional		$445.05	$1,013.18	$3,197.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $671.47 / $997.07 / $3,711.03	Facility		$671.47	$997.07	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $785.95 / $1,138.69	Professional		$613.65	$785.95	$1,138.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $428.10 / $582.21 / $828.03	Professional		$428.10	$582.21	$828.03
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 $483.76 / $794.77 / $1,236.31	Professional		$483.76	$794.77	$1,236.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $706.70 / $1,005.10	Professional		$577.60	$706.70	$1,005.10