Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.17 / $1,124.88 / $1,124.88	Facility		$200.17	$1,124.88	$1,124.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $998.79 / $1,124.88	Professional		$185.46	$998.79	$1,124.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $1,076.90 / $2,733.67	Professional		$395.76	$1,076.90	$2,733.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.01 / $1,305.65 / $2,316.39	Facility		$301.01	$1,305.65	$2,316.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $921.51 / $2,243.92 / $7,128.80	Professional		$921.51	$2,243.92	$7,128.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $451.76 / $1,786.76 / $3,181.29	Facility		$451.76	$1,786.76	$3,181.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.21 / $1,786.76 / $2,628.97	Professional		$427.21	$1,786.76	$2,628.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $322.79 / $1,355.26 / $1,817.79	Professional		$322.79	$1,355.26	$1,817.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.13 / $1,546.74 / $2,983.20	Professional		$386.13	$1,546.74	$2,983.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $391.70 / $479.20 / $2,294.10	Professional		$391.70	$479.20	$2,294.10