Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.21 / $1,927.76 / $1,927.76	Facility		$181.21	$1,927.76	$1,927.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,692.37 / $2,698.76	Professional		$166.05	$1,692.37	$2,698.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $2,713.62 / $4,665.84	Professional		$374.75	$2,713.62	$4,665.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.17 / $1,529.72 / $4,357.60	Facility		$224.17	$1,529.72	$4,357.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,568.34 / $4,494.59 / $12,086.08	Professional		$2,568.34	$4,494.59	$12,086.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $425.02 / $2,440.87 / $4,658.99	Facility		$425.02	$2,440.87	$4,658.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $3,037.39 / $4,658.99	Professional		$384.28	$3,037.39	$4,658.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $1,707.24 / $3,061.78	Professional		$254.65	$1,707.24	$3,061.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,657.43 / $3,444.17 / $5,416.99	Professional		$1,657.43	$3,444.17	$5,416.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $352.30 / $431.10 / $3,864.00	Professional		$352.30	$431.10	$3,864.00