Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $549.54 / $4,365.16	Facility		$169.82	$549.54	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $724.44	Professional		$177.83	$363.08	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $912.01 / $1,621.81	Professional		$363.08	$912.01	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $1,047.13	Facility		$173.78	$478.63	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $4,073.80	Professional		$537.03	$870.96	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $1,348.96	Professional		$436.52	$446.68	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $660.69 / $1,047.13	Professional		$263.03	$660.69	$1,047.13
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 $234.42 / $512.86 / $1,202.26	Professional		$234.42	$512.86	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $1,258.93	Professional		$346.74	$426.58	$1,258.93