Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $4,365.16	Facility		$436.52	$602.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $933.25	Professional		$398.11	$537.03	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,737.80	Professional		$851.14	$1,288.25	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Facility		$602.56	$851.14	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,202.26 / $4,365.16	Professional		$524.81	$1,202.26	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,380.38	Professional		$954.99	$1,000.00	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,348.96	Professional		$870.96	$954.99	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,148.15	Professional		$630.96	$870.96	$1,148.15
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 $512.86 / $891.25 / $1,584.89	Professional		$512.86	$891.25	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,380.38	Professional		$831.76	$1,023.29	$1,380.38