Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $4,365.16	Facility		$208.93	$338.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $575.44	Professional		$208.93	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,000.00	Professional		$363.08	$645.65	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $794.33	Facility		$213.80	$371.54	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $2,454.71	Professional		$309.03	$549.54	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $831.76	Professional		$478.63	$537.03	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $691.83	Professional		$446.68	$446.68	$691.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $645.65	Professional		$316.23	$426.58	$645.65
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 $257.04 / $436.52 / $724.44	Professional		$257.04	$436.52	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $776.25	Professional		$426.58	$512.86	$776.25