Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,548.13 / $4,365.16	Facility		$512.86	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $954.99	Professional		$436.52	$512.86	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,513.56	Professional		$891.25	$1,202.26	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $1,258.93	Facility		$616.60	$831.76	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $3,890.45	Professional		$457.09	$794.33	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,122.02	Professional		$977.24	$1,122.02	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,047.13	Professional		$977.24	$977.24	$1,047.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,071.52	Professional		$489.78	$812.83	$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 $512.86 / $933.25 / $1,380.38	Professional		$512.86	$933.25	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,288.25	Professional		$1,047.13	$1,258.93	$1,288.25