Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $4,365.16	Facility		$426.58	$426.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $831.76	Professional		$416.87	$478.63	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,318.26	Professional		$741.31	$1,047.13	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,288.25	Facility		$371.54	$630.96	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $3,388.44	Professional		$436.52	$724.44	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,122.02	Professional		$1,000.00	$1,047.13	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $891.25	Professional		$524.81	$741.31	$891.25
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 $436.52 / $724.44 / $1,230.27	Professional		$436.52	$724.44	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,071.52	Professional		$891.25	$1,071.52	$1,071.52