Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $537.03 / $4,365.16	Facility		$489.78	$537.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $933.25	Professional		$446.68	$512.86	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,548.82	Professional		$812.83	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $1,230.27	Facility		$645.65	$812.83	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $3,890.45	Professional		$467.74	$1,071.52	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,174.90	Professional		$1,071.52	$1,096.48	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,148.15	Professional		$1,000.00	$1,047.13	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,071.52	Professional		$575.44	$891.25	$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 $549.54 / $933.25 / $1,412.54	Professional		$549.54	$933.25	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,258.93	Professional		$954.99	$1,174.90	$1,258.93