Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $379.38 / $4,338.00	Facility		$132.22	$379.38	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $379.38 / $724.64	Professional		$151.99	$379.38	$724.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $599.82 / $1,031.33	Professional		$313.98	$599.82	$1,031.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.81 / $402.64 / $948.34	Facility		$171.81	$402.64	$948.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.64 / $1,042.68 / $3,502.01	Professional		$444.64	$1,042.68	$3,502.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.30 / $867.63 / $1,679.79	Facility		$347.30	$867.63	$1,679.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.41 / $700.83 / $984.69	Professional		$306.41	$700.83	$984.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.51 / $518.47 / $686.36	Professional		$231.51	$518.47	$686.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.58 / $752.96 / $1,089.36	Professional		$407.58	$752.96	$1,089.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $330.60 / $833.10	Professional		$270.20	$330.60	$833.10