Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $4,365.16	Facility		$331.13	$489.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $831.76	Professional		$302.00	$478.63	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,412.54	Professional		$602.56	$977.24	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,122.02	Facility		$467.74	$707.95	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $977.24 / $3,548.13	Professional		$426.58	$977.24	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,122.02	Professional		$724.44	$758.58	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,096.48	Professional		$676.08	$741.31	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $933.25	Professional		$524.81	$707.95	$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 $416.87 / $707.95 / $1,318.26	Professional		$416.87	$707.95	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,122.02	Professional		$645.65	$776.25	$1,122.02