Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $758.58 / $6,309.57	Facility		$162.18	$758.58	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $660.69 / $977.24	Professional		$162.18	$660.69	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $2,137.96	Professional		$389.05	$562.34	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $954.99 / $2,570.40	Facility		$218.78	$954.99	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,318.26 / $8,709.64	Professional		$416.87	$1,318.26	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $1,584.89	Professional		$398.11	$416.87	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,348.96	Professional		$363.08	$363.08	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,071.52 / $1,380.38	Professional		$288.40	$1,071.52	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $1,905.46	Professional		$229.09	$489.78	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $1,659.59	Professional		$331.13	$407.38	$1,659.59