Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,090.30 / $4,365.16	Facility		$338.84	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $851.14	Professional		$338.84	$407.38	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,096.48	Professional		$831.76	$870.96	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $1,047.13	Facility		$457.09	$537.03	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $2,818.38	Professional		$354.81	$676.08	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $870.96	Professional		$758.58	$831.76	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $741.31	Professional		$478.63	$630.96	$741.31
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 $407.38 / $707.95 / $1,047.13	Professional		$407.38	$707.95	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $870.96	Professional		$724.44	$851.14	$870.96