Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $4,365.16	Facility		$323.59	$457.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $707.95	Professional		$302.00	$446.68	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,348.96	Professional		$645.65	$977.24	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,071.52	Facility		$426.58	$707.95	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $977.24 / $3,467.37	Professional		$416.87	$977.24	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $1,096.48	Professional		$741.31	$758.58	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,096.48	Professional		$691.83	$758.58	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $891.25	Professional		$489.78	$707.95	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,288.25	Professional		$416.87	$707.95	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,096.48	Professional		$645.65	$794.33	$1,096.48