Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,548.13 / $4,365.16	Facility		$338.84	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $707.95	Professional		$338.84	$389.05	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,047.13	Professional		$588.84	$831.76	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $1,148.15	Facility		$309.03	$524.81	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $2,754.23	Professional		$416.87	$630.96	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $912.01	Professional		$812.83	$891.25	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $724.44	Professional		$467.74	$616.60	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,047.13	Professional		$416.87	$602.56	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $870.96	Professional		$707.95	$870.96	$870.96