Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $894.20 / $894.20	Facility		$194.96	$894.20	$894.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $703.13 / $1,173.85	Professional		$194.93	$703.13	$1,173.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.02 / $1,255.71 / $2,159.08	Professional		$402.02	$1,255.71	$2,159.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.93 / $711.95 / $1,975.05	Facility		$255.93	$711.95	$1,975.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $850.74 / $2,192.03 / $5,613.84	Professional		$850.74	$2,192.03	$5,613.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $444.84 / $1,560.34 / $2,491.83	Facility		$444.84	$1,560.34	$2,491.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $1,352.00 / $2,148.05	Professional		$394.47	$1,352.00	$2,148.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $1,044.74 / $1,423.83	Professional		$298.05	$1,044.74	$1,423.83
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 $702.79 / $1,472.26 / $2,290.17	Professional		$702.79	$1,472.26	$2,290.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $442.50 / $1,796.90	Professional		$361.60	$442.50	$1,796.90