Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $4,365.16	Facility		$436.52	$436.52	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $489.78	Professional		$371.54	$446.68	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Professional		$1,023.29	$1,023.29	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $1,995.26	Facility		$537.03	$741.31	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $5,754.40	Professional		$426.58	$831.76	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,122.02	Professional		$1,023.29	$1,023.29	$1,122.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,047.13	Professional		$645.65	$851.14	$1,047.13
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 $562.34 / $933.25 / $1,288.25	Professional		$562.34	$933.25	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,096.48	Professional		$891.25	$1,047.13	$1,096.48