Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $3,090.30 / $4,365.16	Facility		$323.59	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $512.86	Professional		$323.59	$371.54	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,047.13	Professional		$794.33	$831.76	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $1,000.00	Facility		$436.52	$512.86	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $2,691.53	Professional		$338.84	$645.65	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $831.76	Professional		$741.31	$794.33	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $707.95	Professional		$478.63	$602.56	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,000.00	Professional		$398.11	$691.83	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $851.14	Professional		$691.83	$812.83	$851.14