Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $426.58 / $14,125.38	Facility		$281.84	$426.58	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $660.69	Professional		$257.04	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,230.27	Professional		$575.44	$831.76	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,000.00	Facility		$371.54	$645.65	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,000.00 / $3,162.28	Professional		$416.87	$1,000.00	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $1,000.00	Professional		$616.60	$660.69	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,258.93	Professional		$575.44	$794.33	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $933.25	Professional		$457.09	$616.60	$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 $389.05 / $724.44 / $1,230.27	Professional		$389.05	$724.44	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $977.24	Professional		$549.54	$676.08	$977.24