Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $2,033.40 / $2,033.40	Facility		$88.06	$2,033.40	$2,033.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $1,854.84 / $2,033.40	Professional		$82.08	$1,854.84	$2,033.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $269.75 / $6,366.22	Professional		$136.19	$269.75	$6,366.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $1,652.39 / $5,122.10	Facility		$83.12	$1,652.39	$5,122.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.52 / $4,155.49 / $17,923.14	Professional		$2,344.52	$4,155.49	$17,923.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.40 / $3,518.08 / $5,362.10	Facility		$194.40	$3,518.08	$5,362.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $3,290.29 / $4,742.71	Professional		$193.49	$3,290.29	$4,742.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $2,433.50 / $3,938.97	Professional		$126.36	$2,433.50	$3,938.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.52 / $3,410.21 / $5,586.31	Professional		$2,344.52	$3,410.21	$5,586.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $213.90 / $5,232.30	Professional		$205.70	$213.90	$5,232.30