Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $537.03 / $4,365.16	Facility		$169.82	$537.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $676.08	Professional		$169.82	$218.78	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,548.82	Professional		$295.12	$524.81	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $467.74 / $1,000.00	Facility		$177.83	$467.74	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $3,890.45	Professional		$169.82	$309.03	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,288.25	Professional		$354.81	$446.68	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $1,023.29	Professional		$229.09	$363.08	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $1,000.00	Professional		$190.55	$323.59	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $1,230.27	Professional		$363.08	$446.68	$1,230.27