Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.56 / $392.56 / $2,290.00	Facility		$392.56	$392.56	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $363.31 / $399.65	Professional		$362.50	$363.31	$399.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.76 / $805.59 / $1,006.99	Professional		$759.76	$805.59	$1,006.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.04 / $612.63 / $1,075.00	Facility		$372.04	$612.63	$1,075.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.28 / $750.46 / $2,759.44	Professional		$450.28	$750.46	$2,759.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $791.29 / $916.33 / $5,980.77	Facility		$791.29	$916.33	$5,980.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $680.32 / $823.86 / $1,143.77	Professional		$680.32	$823.86	$1,143.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $642.29 / $732.29	Professional		$484.80	$642.29	$732.29
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 $475.49 / $817.83 / $1,048.84	Professional		$475.49	$817.83	$1,048.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $755.30 / $888.60 / $924.20	Professional		$755.30	$888.60	$924.20