Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $512.86 / $4,365.16	Facility		$457.09	$512.86	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $891.25	Professional		$416.87	$467.74	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,513.56	Professional		$758.58	$1,202.26	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,174.90	Facility		$602.56	$776.25	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $3,715.35	Professional		$436.52	$977.24	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,096.48	Professional		$977.24	$977.24	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,047.13	Professional		$891.25	$954.99	$1,047.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,000.00	Professional		$501.19	$831.76	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,318.26	Professional		$501.19	$851.14	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,202.26	Professional		$891.25	$1,096.48	$1,202.26