Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $4,365.16	Facility		$416.87	$467.74	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $741.31	Professional		$354.81	$426.58	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,348.96	Professional		$724.44	$1,096.48	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $954.99	Facility		$501.19	$676.08	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $3,388.44	Professional		$389.05	$812.83	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $812.83 / $891.25	Professional		$794.33	$812.83	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $870.96	Professional		$724.44	$794.33	$870.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $912.01	Professional		$457.09	$758.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,071.52	Professional		$398.11	$707.95	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,122.02	Professional		$812.83	$1,000.00	$1,122.02