Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.69 / $391.69 / $2,290.00	Facility		$391.69	$391.69	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.80 / $391.69 / $1,173.98	Professional		$353.80	$391.69	$1,173.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.20 / $931.80 / $1,164.75	Professional		$903.20	$931.80	$1,164.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.93 / $661.96 / $1,086.19	Facility		$505.93	$661.96	$1,086.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $816.84 / $6,221.00	Professional		$490.10	$816.84	$6,221.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $1,070.76 / $2,197.38	Facility		$691.00	$1,070.76	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.00 / $903.20 / $1,088.09	Professional		$701.00	$903.20	$1,088.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $510.74 / $682.43 / $802.80	Professional		$510.74	$682.43	$802.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $765.90 / $1,141.58	Professional		$490.10	$765.90	$1,141.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $796.40 / $937.00 / $974.40	Professional		$796.40	$937.00	$974.40