Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $637.55 / $637.55	Facility		$120.73	$637.55	$637.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $548.47 / $1,030.01	Professional		$120.73	$548.47	$1,030.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.22 / $360.33 / $1,792.90	Professional		$253.22	$360.33	$1,792.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $561.79 / $1,818.37	Facility		$155.88	$561.79	$1,818.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $1,395.42 / $4,609.28	Professional		$837.25	$1,395.42	$4,609.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.75 / $1,326.78 / $3,103.79	Facility		$314.75	$1,326.78	$3,103.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $1,040.98 / $1,774.09	Professional		$282.38	$1,040.98	$1,774.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.13 / $737.84 / $1,179.30	Professional		$187.13	$737.84	$1,179.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $1,279.61 / $1,990.52	Professional		$837.25	$1,279.61	$1,990.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $304.70 / $1,431.40	Professional		$249.00	$304.70	$1,431.40