Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $385.81 / $4,531.46	Facility		$263.45	$385.81	$4,531.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $318.61 / $460.00	Professional		$237.56	$318.61	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.57 / $755.73 / $1,082.95	Professional		$532.57	$755.73	$1,082.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.79 / $543.79 / $881.68	Facility		$374.79	$543.79	$881.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $802.78 / $2,777.20	Professional		$373.12	$802.78	$2,777.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $522.41 / $644.79 / $924.29	Facility		$522.41	$644.79	$924.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.41 / $682.63 / $924.29	Professional		$522.41	$682.63	$924.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $529.91 / $731.00	Professional		$381.23	$529.91	$731.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $651.40 / $1,013.29	Professional		$317.50	$651.40	$1,013.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $514.70 / $629.70 / $887.30	Professional		$514.70	$629.70	$887.30