Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,548.13 / $4,365.16	Facility		$478.63	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $933.25	Professional		$467.74	$537.03	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,479.11	Professional		$831.76	$1,174.90	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $1,445.44	Facility		$436.52	$707.95	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $3,801.89	Professional		$501.19	$812.83	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,258.93	Professional		$1,122.02	$1,174.90	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,000.00	Professional		$602.56	$831.76	$1,000.00
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 $501.19 / $812.83 / $1,380.38	Professional		$501.19	$812.83	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,202.26	Professional		$977.24	$1,202.26	$1,202.26