Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $4,365.16	Facility		$407.38	$630.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $977.24	Professional		$363.08	$575.44	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,819.70	Professional		$758.58	$1,174.90	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,148.15	Facility		$501.19	$758.58	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,000.00 / $4,570.88	Professional		$501.19	$1,000.00	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,412.54	Professional		$776.25	$891.25	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,122.02	Professional		$630.96	$724.44	$1,122.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,202.26	Professional		$549.54	$794.33	$1,202.26
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 / $794.33 / $1,445.44	Professional		$416.87	$794.33	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,445.44	Professional		$794.33	$977.24	$1,445.44