Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $4,365.16	Facility		$478.63	$489.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $870.96	Professional		$446.68	$489.78	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,445.44	Professional		$812.83	$1,148.15	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,202.26	Facility		$602.56	$794.33	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $977.24 / $3,630.78	Professional		$457.09	$977.24	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,071.52	Professional		$977.24	$1,071.52	$1,071.52
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 $524.81 / $831.76 / $1,071.52	Professional		$524.81	$831.76	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,318.26	Professional		$512.86	$851.14	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,174.90	Professional		$954.99	$1,148.15	$1,174.90