Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $4,365.16	Facility		$363.08	$562.34	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $870.96	Professional		$354.81	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,819.70	Professional		$741.31	$1,174.90	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $1,258.93	Facility		$501.19	$812.83	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,071.52 / $4,570.88	Professional		$489.78	$1,071.52	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $1,258.93	Professional		$812.83	$831.76	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $1,202.26	Professional		$758.58	$794.33	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,202.26	Professional		$602.56	$812.83	$1,202.26
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 $457.09 / $812.83 / $1,479.11	Professional		$457.09	$812.83	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,445.44	Professional		$794.33	$977.24	$1,445.44