Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,290.87 / $4,365.16	Facility		$239.88	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $524.81	Professional		$239.88	$269.15	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $741.31	Professional		$416.87	$588.84	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $741.31	Facility		$218.78	$371.54	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $1,905.46	Professional		$257.04	$380.19	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $645.65	Professional		$562.34	$616.60	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $501.19	Professional		$302.00	$426.58	$501.19
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 $257.04 / $416.87 / $707.95	Professional		$257.04	$416.87	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $602.56	Professional		$489.78	$602.56	$602.56