Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.67 / $397.67 / $3,511.00	Facility		$397.67	$397.67	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.41 / $397.67 / $542.49	Professional		$358.41	$397.67	$542.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.67 / $958.29 / $1,197.86	Professional		$696.67	$958.29	$1,197.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $617.46 / $1,170.71	Facility		$410.24	$617.46	$1,170.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.57 / $821.16 / $3,117.60	Professional		$439.57	$821.16	$3,117.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $633.83 / $1,034.48 / $3,285.23	Facility		$633.83	$1,034.48	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $924.30 / $1,121.72	Professional		$554.00	$924.30	$1,121.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $514.10 / $703.20 / $821.56	Professional		$514.10	$703.20	$821.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.64 / $821.16 / $1,179.64	Professional		$451.64	$821.16	$1,179.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $997.20 / $997.20	Professional		$815.00	$997.20	$997.20