Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,548.13 / $4,365.16	Facility		$436.52	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,071.52	Professional		$426.58	$616.60	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,778.28	Professional		$891.25	$1,288.25	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,412.54	Facility		$616.60	$870.96	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,230.27 / $4,466.84	Professional		$537.03	$1,230.27	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,412.54	Professional		$977.24	$1,000.00	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,380.38	Professional		$891.25	$977.24	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,174.90	Professional		$660.69	$891.25	$1,174.90
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 $524.81 / $912.01 / $1,659.59	Professional		$524.81	$912.01	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,412.54	Professional		$851.14	$1,047.13	$1,412.54