Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $4,365.16	Facility		$407.38	$407.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $776.25	Professional		$363.08	$407.38	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,174.90	Professional		$707.95	$933.25	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,047.13	Facility		$489.78	$660.69	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $3,019.95	Professional		$380.19	$660.69	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $912.01	Professional		$812.83	$912.01	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $870.96	Professional		$812.83	$812.83	$870.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $794.33	Professional		$478.63	$660.69	$794.33
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 $426.58 / $724.44 / $1,096.48	Professional		$426.58	$724.44	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $954.99	Professional		$776.25	$912.01	$954.99