Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,090.30 / $4,365.16	Facility		$436.52	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $501.19	Professional		$363.08	$457.09	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $1,174.90	Professional		$912.01	$933.25	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $1,096.48	Facility		$512.86	$676.08	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $3,019.95	Professional		$363.08	$616.60	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $912.01	Professional		$794.33	$794.33	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $812.83	Professional		$426.58	$676.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,096.48	Professional		$363.08	$691.83	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,023.29	Professional		$831.76	$977.24	$1,023.29