Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.19 / $2,290.00 / $2,859.57	Facility		$167.19	$2,290.00	$2,859.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $2,298.32 / $4,233.03	Professional		$157.83	$2,298.32	$4,233.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.65 / $534.29 / $7,608.89	Professional		$385.65	$534.29	$7,608.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $2,472.79 / $4,832.67	Facility		$202.50	$2,472.79	$4,832.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,286.56 / $6,167.07 / $19,789.59	Professional		$1,286.56	$6,167.07	$19,789.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.21 / $6,355.56 / $8,673.25	Facility		$427.21	$6,355.56	$8,673.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $4,981.39 / $7,640.02	Professional		$379.91	$4,981.39	$7,640.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $2,818.06 / $4,955.89	Professional		$251.76	$2,818.06	$4,955.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,788.00 / $6,167.07 / $9,593.21	Professional		$3,788.00	$6,167.07	$9,593.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $402.70 / $5,909.50	Professional		$329.10	$402.70	$5,909.50