Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,548.13 / $4,365.16	Facility		$478.63	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $954.99	Professional		$426.58	$478.63	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,412.54	Professional		$851.14	$1,122.02	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,174.90	Facility		$616.60	$794.33	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $3,548.13	Professional		$416.87	$758.58	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,047.13	Professional		$851.14	$1,047.13	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,000.00	Professional		$851.14	$851.14	$1,000.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $954.99	Professional		$489.78	$776.25	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,288.25	Professional		$489.78	$831.76	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,148.15	Professional		$933.25	$1,096.48	$1,148.15