Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,090.30 / $4,365.16	Facility		$489.78	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $794.33	Professional		$467.74	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,584.89	Professional		$1,230.27	$1,258.93	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $1,445.44	Facility		$660.69	$831.76	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $4,168.69	Professional		$512.86	$977.24	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,230.27	Professional		$1,071.52	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,148.15	Professional		$676.08	$954.99	$1,148.15
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 $575.44 / $1,000.00 / $1,479.11	Professional		$575.44	$1,000.00	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,348.96	Professional		$1,096.48	$1,288.25	$1,348.96