Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $889.50 / $5,013.80	Facility		$47.16	$889.50	$5,013.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $629.27 / $1,408.13	Professional		$63.82	$629.27	$1,408.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $154.35 / $2,432.73	Professional		$111.41	$154.35	$2,432.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.94 / $790.44 / $2,140.27	Facility		$60.94	$790.44	$2,140.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,061.99 / $2,165.34 / $6,302.40	Professional		$1,061.99	$2,165.34	$6,302.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $1,426.33 / $2,772.60	Facility		$123.94	$1,426.33	$2,772.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $1,586.63 / $2,424.76	Professional		$109.89	$1,586.63	$2,424.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $1,181.15 / $1,584.26	Professional		$83.03	$1,181.15	$1,584.26
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.54 / $1,826.10 / $2,840.60	Professional		$1,109.54	$1,826.10	$2,840.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $118.60 / $1,923.00	Professional		$96.90	$118.60	$1,923.00