Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,548.13 / $4,365.16	Facility		$478.63	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $891.25	Professional		$426.58	$478.63	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,380.38	Professional		$831.76	$1,122.02	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,202.26	Facility		$575.44	$776.25	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $3,548.13	Professional		$426.58	$776.25	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,047.13	Professional		$891.25	$1,047.13	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,023.29	Professional		$891.25	$891.25	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $933.25	Professional		$512.86	$776.25	$933.25
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 $501.19 / $851.14 / $1,288.25	Professional		$501.19	$851.14	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,148.15	Professional		$933.25	$1,096.48	$1,148.15