Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $4,365.16	Facility		$489.78	$489.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $575.44	Professional		$426.58	$537.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Professional		$1,023.29	$1,023.29	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,348.96	Facility		$630.96	$758.58	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $3,467.37	Professional		$436.52	$851.14	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $933.25	Professional		$645.65	$870.96	$933.25
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 $575.44 / $954.99 / $1,318.26	Professional		$575.44	$954.99	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,174.90	Professional		$954.99	$1,122.02	$1,174.90