Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $4,365.16	Facility		$588.84	$588.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $691.83	Professional		$501.19	$630.96	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Professional		$1,230.27	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,479.11	Facility		$691.83	$812.83	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $4,073.80	Professional		$512.86	$1,000.00	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,318.26	Professional		$1,230.27	$1,230.27	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,096.48	Professional		$741.31	$954.99	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,548.82	Professional		$616.60	$1,122.02	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,380.38	Professional		$1,122.02	$1,348.96	$1,380.38