Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $4,365.16	Facility		$331.13	$524.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $812.83	Professional		$302.00	$478.63	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,513.56	Professional		$645.65	$977.24	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $1,174.90	Facility		$436.52	$724.44	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $977.24 / $3,801.89	Professional		$457.09	$977.24	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $1,174.90	Professional		$707.95	$724.44	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $1,096.48	Professional		$616.60	$676.08	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,000.00	Professional		$501.19	$724.44	$1,000.00
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 $389.05 / $724.44 / $1,380.38	Professional		$389.05	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,202.26	Professional		$645.65	$794.33	$1,202.26