Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.85 / $435.85 / $3,073.00	Facility		$435.85	$435.85	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.31 / $435.85 / $435.85	Professional		$404.31	$435.85	$435.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.36 / $911.55 / $1,139.43	Professional		$828.36	$911.55	$1,139.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.25 / $683.28 / $1,052.01	Facility		$498.25	$683.28	$1,052.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $707.45 / $3,008.80	Professional		$368.96	$707.45	$3,008.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $920.44 / $2,930.75	Facility		$630.00	$920.44	$2,930.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $800.61 / $1,106.10	Professional		$602.00	$800.61	$1,106.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $430.20 / $688.86 / $813.15	Professional		$430.20	$688.86	$813.15
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 $368.96 / $763.29 / $1,100.48	Professional		$368.96	$763.29	$1,100.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $838.70 / $986.70 / $1,026.20	Professional		$838.70	$986.70	$1,026.20