Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $4,365.16	Facility		$338.84	$645.65	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $977.24	Professional		$338.84	$630.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,570.40	Professional		$758.58	$1,148.15	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $912.01 / $1,513.56	Facility		$478.63	$912.01	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,202.26 / $6,606.93	Professional		$549.54	$1,202.26	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $1,348.96	Professional		$758.58	$794.33	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,348.96	Professional		$724.44	$758.58	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,737.80	Professional		$616.60	$891.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,737.80	Professional		$436.52	$851.14	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,089.30	Professional		$831.76	$1,023.29	$2,089.30