Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $4,365.16	Facility		$489.78	$645.65	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $758.58	Professional		$478.63	$575.44	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,819.70	Professional		$1,096.48	$1,380.38	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,698.24	Facility		$588.84	$812.83	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,202.26 / $4,570.88	Professional		$549.54	$1,202.26	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,445.44	Professional		$1,023.29	$1,122.02	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,288.25	Professional		$977.24	$977.24	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,202.26	Professional		$724.44	$954.99	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,698.24	Professional		$588.84	$1,000.00	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,380.38	Professional		$870.96	$1,071.52	$1,380.38