Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $4,365.16	Facility		$257.04	$389.05	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $812.83	Professional		$245.47	$416.87	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,096.48	Professional		$588.84	$741.31	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,621.81	Facility		$371.54	$630.96	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,412.54 / $4,570.88	Professional		$630.96	$1,412.54	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,621.81	Professional		$812.83	$1,318.26	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,584.89	Professional		$1,174.90	$1,258.93	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,096.48	Professional		$426.58	$645.65	$1,096.48
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 $549.54 / $977.24 / $1,905.46	Professional		$549.54	$977.24	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $870.96	Professional		$489.78	$602.56	$870.96