Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.22 / $483.48 / $483.48	Facility		$191.22	$483.48	$483.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $405.22 / $483.48	Professional		$163.40	$405.22	$483.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.65 / $557.05 / $1,362.45	Professional		$445.65	$557.05	$1,362.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.66 / $511.70 / $1,110.30	Facility		$233.66	$511.70	$1,110.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.02 / $1,051.08 / $1,467.04	Professional		$457.02	$1,051.08	$1,467.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.02 / $868.58 / $1,493.33	Facility		$457.02	$868.58	$1,493.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.02 / $596.51 / $1,350.57	Professional		$457.02	$596.51	$1,350.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $284.56 / $464.64 / $903.07	Professional		$284.56	$464.64	$903.07
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 $550.57 / $944.70 / $1,408.43	Professional		$550.57	$944.70	$1,408.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $378.60 / $463.30 / $1,096.09	Professional		$378.60	$463.30	$1,096.09