Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $4,365.16	Facility		$407.38	$407.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $602.56	Professional		$389.05	$446.68	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,202.26	Professional		$912.01	$954.99	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $1,047.13	Facility		$501.19	$691.83	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $3,388.44	Professional		$416.87	$758.58	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,000.00	Professional		$794.33	$891.25	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $912.01	Professional		$501.19	$758.58	$912.01
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 $446.68 / $758.58 / $1,148.15	Professional		$446.68	$758.58	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,096.48	Professional		$912.01	$1,071.52	$1,096.48