Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,090.30 / $4,365.16	Facility		$380.19	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $1,096.48	Professional		$380.19	$446.68	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,148.15	Professional		$645.65	$912.01	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $1,174.90	Facility		$338.84	$630.96	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $5,248.07	Professional		$416.87	$660.69	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,000.00	Professional		$912.01	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $812.83	Professional		$512.86	$676.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,122.02	Professional		$416.87	$691.83	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $977.24	Professional		$794.33	$977.24	$977.24