Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $4,365.16	Facility		$501.19	$537.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $1,047.13	Professional		$467.74	$524.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,548.82	Professional		$831.76	$1,258.93	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,258.93	Facility		$645.65	$831.76	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,071.52 / $3,981.07	Professional		$478.63	$1,071.52	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,174.90	Professional		$1,096.48	$1,122.02	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,148.15	Professional		$1,023.29	$1,071.52	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,122.02	Professional		$588.84	$891.25	$1,122.02
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 $562.34 / $933.25 / $1,445.44	Professional		$562.34	$933.25	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,288.25	Professional		$1,000.00	$1,202.26	$1,288.25