Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $4,365.16	Facility		$257.04	$398.11	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $616.60	Professional		$234.42	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,148.15	Professional		$537.03	$758.58	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $1,000.00	Facility		$371.54	$602.56	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $2,884.03	Professional		$398.11	$891.25	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,023.29	Professional		$602.56	$660.69	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $1,023.29	Professional		$602.56	$630.96	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $758.58	Professional		$426.58	$562.34	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,202.26	Professional		$371.54	$588.84	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $912.01	Professional		$501.19	$616.60	$912.01