Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.36 / $389.36 / $3,073.00	Facility		$389.36	$389.36	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.05 / $389.36 / $412.10	Professional		$353.05	$389.36	$412.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.38 / $937.26 / $1,171.57	Professional		$681.38	$937.26	$1,171.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.42 / $656.70 / $1,020.68	Facility		$405.42	$656.70	$1,020.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.82 / $730.98 / $3,100.80	Professional		$431.82	$730.98	$3,100.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $560.13 / $1,010.12 / $1,487.46	Facility		$560.13	$1,010.12	$1,487.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.13 / $878.63 / $1,139.29	Professional		$560.13	$878.63	$1,139.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $444.25 / $624.10 / $837.09	Professional		$444.25	$624.10	$837.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.63 / $730.98 / $1,137.08	Professional		$413.63	$730.98	$1,137.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $830.40 / $1,016.00 / $1,016.00	Professional		$830.40	$1,016.00	$1,016.00