Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $4,365.16	Facility		$363.08	$363.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $1,174.90	Professional		$338.84	$380.19	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $1,148.15	Professional		$912.01	$933.25	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $1,071.52	Facility		$489.78	$602.56	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $3,090.30	Professional		$380.19	$724.44	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $933.25	Professional		$870.96	$912.01	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $831.76	Professional		$501.19	$707.95	$831.76
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 $436.52 / $741.31 / $1,096.48	Professional		$436.52	$741.31	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,000.00	Professional		$812.83	$954.99	$1,000.00