Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $4,365.16	Facility		$436.52	$549.54	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,202.26	Professional		$426.58	$549.54	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,621.81	Professional		$794.33	$1,288.25	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,380.38	Facility		$602.56	$794.33	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,230.27 / $5,011.87	Professional		$524.81	$1,230.27	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,348.96	Professional		$977.24	$1,096.48	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,380.38	Professional		$933.25	$1,122.02	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,071.52	Professional		$645.65	$870.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,584.89	Professional		$549.54	$954.99	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,288.25	Professional		$851.14	$1,047.13	$1,288.25