Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.27 / $375.27 / $3,073.00	Facility		$375.27	$375.27	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.59 / $375.27 / $1,127.54	Professional		$338.59	$375.27	$1,127.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $891.29 / $1,114.10	Professional		$865.35	$891.29	$1,114.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.18 / $634.21 / $1,044.65	Facility		$484.18	$634.21	$1,044.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.19 / $781.98 / $4,691.53	Professional		$469.19	$781.98	$4,691.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $1,027.69 / $3,079.87	Facility		$681.00	$1,027.69	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $865.35 / $1,044.86	Professional		$728.00	$865.35	$1,044.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $482.26 / $653.83 / $769.16	Professional		$482.26	$653.83	$769.16
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 $469.19 / $704.16 / $1,095.35	Professional		$469.19	$704.16	$1,095.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $763.00 / $897.70 / $933.60	Professional		$763.00	$897.70	$933.60