Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $4,365.16	Facility		$416.87	$489.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $794.33	Professional		$398.11	$489.78	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,318.26	Professional		$758.58	$1,071.52	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,096.48	Facility		$338.84	$562.34	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $3,388.44	Professional		$389.05	$812.83	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,047.13	Professional		$912.01	$912.01	$1,047.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $870.96	Professional		$489.78	$741.31	$870.96
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 $416.87 / $707.95 / $1,202.26	Professional		$416.87	$707.95	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,047.13	Professional		$741.31	$891.25	$1,047.13