Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $4,365.16	Facility		$524.81	$524.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,047.13	Professional		$478.63	$588.84	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,621.81	Professional		$933.25	$1,318.26	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $1,380.38	Facility		$478.63	$758.58	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $4,168.69	Professional		$512.86	$851.14	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,380.38	Professional		$1,148.15	$1,258.93	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,122.02	Professional		$562.34	$812.83	$1,122.02
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 $524.81 / $851.14 / $1,479.11	Professional		$524.81	$851.14	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,380.38	Professional		$1,122.02	$1,380.38	$1,380.38