Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.39 / $2,290.00 / $2,626.25	Facility		$384.39	$2,290.00	$2,626.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.27 / $1,099.32 / $3,315.18	Professional		$352.27	$1,099.32	$3,315.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.88 / $1,184.23 / $10,960.96	Professional		$799.88	$1,184.23	$10,960.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $595.34 / $5,602.65	Facility		$364.29	$595.34	$5,602.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $2,876.47 / $28,324.16	Professional		$243.02	$2,876.47	$28,324.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $3,899.23 / $21,421.81	Facility		$646.00	$3,899.23	$21,421.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $823.86 / $6,519.78	Professional		$320.33	$823.86	$6,519.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $892.08 / $6,866.93	Professional		$261.30	$892.08	$6,866.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $2,876.47 / $5,794.52	Professional		$303.77	$2,876.47	$5,794.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $1,082.80 / $8,773.00	Professional		$885.00	$1,082.80	$8,773.00