Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.24 / $430.24 / $2,290.00	Facility		$430.24	$430.24	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $430.24 / $1,510.26	Professional		$402.85	$430.24	$1,510.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.02 / $1,085.91 / $1,343.95	Professional		$1,075.02	$1,085.91	$1,343.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.08 / $727.11 / $1,271.83	Facility		$576.08	$727.11	$1,271.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.89 / $988.55 / $3,699.44	Professional		$564.89	$988.55	$3,699.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $390.25 / $1,070.58 / $1,600.77	Facility		$390.25	$1,070.58	$1,600.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $1,136.81 / $1,395.55	Professional		$536.00	$1,136.81	$1,395.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $581.83 / $858.94 / $1,010.46	Professional		$581.83	$858.94	$1,010.46
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 $564.89 / $885.60 / $1,377.60	Professional		$564.89	$885.60	$1,377.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $984.80 / $1,158.50 / $1,204.90	Professional		$984.80	$1,158.50	$1,204.90