Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.55 / $380.55 / $3,073.00	Facility		$380.55	$380.55	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.54 / $380.55 / $428.61	Professional		$341.54	$380.55	$428.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.23 / $894.41 / $1,118.01	Professional		$650.23	$894.41	$1,118.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.04 / $652.41 / $1,169.48	Facility		$409.04	$652.41	$1,169.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.09 / $835.90 / $5,296.80	Professional		$514.09	$835.90	$5,296.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $670.11 / $1,005.75 / $7,072.44	Facility		$670.11	$1,005.75	$7,072.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $906.84 / $1,132.70	Professional		$666.00	$906.84	$1,132.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $507.80 / $706.98 / $806.04	Professional		$507.80	$706.98	$806.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $10,811.40	Facility		$5,357.00	$5,357.00	$10,811.40
United Facility/Professional Professional Modifier Low / Median / High Price $491.70 / $838.12 / $1,185.32	Professional		$491.70	$838.12	$1,185.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $978.40 / $978.40	Professional		$799.60	$978.40	$978.40