Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $4,365.16	Facility		$323.59	$501.19	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $977.24	Professional		$295.12	$478.63	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,412.54	Professional		$645.65	$954.99	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,122.02	Facility		$426.58	$707.95	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $977.24 / $3,630.78	Professional		$426.58	$977.24	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $1,122.02	Professional		$707.95	$741.31	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,096.48	Professional		$645.65	$707.95	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $933.25	Professional		$489.78	$691.83	$933.25
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 $407.38 / $691.83 / $1,318.26	Professional		$407.38	$691.83	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,122.02	Professional		$630.96	$776.25	$1,122.02