Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $4,365.16	Facility		$512.86	$575.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $891.25	Professional		$446.68	$524.81	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,737.80	Professional		$1,096.48	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $831.76 / $1,479.11	Facility		$537.03	$831.76	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,148.15 / $4,365.16	Professional		$501.19	$1,148.15	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,318.26	Professional		$1,122.02	$1,174.90	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,174.90	Professional		$1,047.13	$1,047.13	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,122.02	Professional		$645.65	$954.99	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,548.82	Professional		$501.19	$1,000.00	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,258.93	Professional		$912.01	$1,023.29	$1,258.93