Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $4,365.16	Facility		$275.42	$436.52	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $724.44	Professional		$251.19	$416.87	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,258.93	Professional		$562.34	$812.83	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $1,000.00	Facility		$363.08	$616.60	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $870.96 / $3,162.28	Professional		$371.54	$870.96	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $1,000.00	Professional		$602.56	$630.96	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $977.24	Professional		$562.34	$602.56	$977.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $812.83	Professional		$426.58	$602.56	$812.83
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 $354.81 / $602.56 / $1,148.15	Professional		$354.81	$602.56	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,000.00	Professional		$537.03	$660.69	$1,000.00