Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,090.30 / $4,365.16	Facility		$416.87	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $831.76	Professional		$398.11	$436.52	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,348.96	Professional		$1,071.52	$1,071.52	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $1,258.93	Facility		$562.34	$707.95	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $3,630.78	Professional		$436.52	$851.14	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,096.48	Professional		$1,023.29	$1,071.52	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $977.24	Professional		$588.84	$831.76	$977.24
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 $512.86 / $870.96 / $1,288.25	Professional		$512.86	$870.96	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,174.90	Professional		$954.99	$1,122.02	$1,174.90