Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.99 / $543.13 / $543.13	Facility		$168.99	$543.13	$543.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $486.88 / $663.02	Professional		$167.87	$486.88	$663.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.17 / $516.15 / $1,616.63	Professional		$334.17	$516.15	$1,616.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $510.90 / $1,376.06	Facility		$216.74	$510.90	$1,376.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.17 / $1,123.83 / $4,108.64	Professional		$561.17	$1,123.83	$4,108.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $447.67 / $1,204.07 / $2,532.54	Facility		$447.67	$1,204.07	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $730.00 / $1,442.04	Professional		$403.20	$730.00	$1,442.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $304.64 / $657.31 / $1,049.74	Professional		$304.64	$657.31	$1,049.74
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 $471.80 / $981.86 / $1,527.34	Professional		$471.80	$981.86	$1,527.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.50 / $435.00 / $1,301.09	Professional		$355.50	$435.00	$1,301.09