Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,862.09 / $4,365.16	Facility		$147.91	$1,862.09	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,445.44 / $2,089.30	Professional		$141.25	$1,445.44	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $3,388.44 / $4,786.30	Professional		$331.13	$3,388.44	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,041.74 / $4,897.79	Facility		$181.97	$2,041.74	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $3,548.13 / $18,620.87	Professional		$331.13	$3,548.13	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $4,365.16	Professional		$316.23	$331.13	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $3,801.89	Professional		$295.12	$295.12	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,511.89 / $3,467.37	Professional		$239.88	$2,511.89	$3,467.37
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 $204.17 / $436.52 / $5,128.61	Professional		$204.17	$436.52	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $3,548.13	Professional		$269.15	$323.59	$3,548.13