Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $4,365.16	Facility		$588.84	$812.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,778.28	Professional		$562.34	$831.76	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,187.76	Professional		$1,174.90	$1,621.81	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,819.70	Facility		$478.63	$812.83	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $5,623.41	Professional		$660.69	$1,288.25	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,737.80	Professional		$1,288.25	$1,288.25	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,445.44	Professional		$758.58	$1,071.52	$1,445.44
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 $630.96 / $1,071.52 / $2,041.74	Professional		$630.96	$1,071.52	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,698.24	Professional		$1,047.13	$1,288.25	$1,698.24