Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $4,365.16	Facility		$331.13	$524.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Professional		$331.13	$501.19	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,548.82	Professional		$575.44	$1,023.29	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $588.84 / $1,202.26	Facility		$338.84	$588.84	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $3,981.07	Professional		$457.09	$812.83	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,318.26	Professional		$776.25	$851.14	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,023.29	Professional		$691.83	$691.83	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,023.29	Professional		$512.86	$676.08	$1,023.29
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 $398.11 / $645.65 / $1,148.15	Professional		$398.11	$645.65	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,258.93	Professional		$676.08	$831.76	$1,258.93