Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.10 / $476.06 / $3,073.00	Facility		$208.10	$476.06	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.78 / $421.78 / $698.16	Professional		$227.78	$421.78	$698.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.26 / $621.33 / $1,386.80	Professional		$402.26	$621.33	$1,386.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.54 / $636.80 / $1,201.26	Facility		$270.54	$636.80	$1,201.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $532.42 / $933.41 / $3,602.00	Professional		$532.42	$933.41	$3,602.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $532.42 / $1,050.93 / $1,525.43	Facility		$532.42	$1,050.93	$1,525.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.73 / $820.00 / $1,268.57	Professional		$492.73	$820.00	$1,268.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $372.28 / $567.83 / $931.20	Professional		$372.28	$567.83	$931.20
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 $504.51 / $855.94 / $1,331.46	Professional		$504.51	$855.94	$1,331.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $531.60 / $1,133.80	Professional		$434.50	$531.60	$1,133.80