Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $4,365.16	Facility		$645.65	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,148.15	Professional		$524.81	$691.83	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,778.28	Professional		$1,258.93	$1,412.54	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $1,621.81	Facility		$457.09	$812.83	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $4,466.84	Professional		$512.86	$851.14	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,348.96	Professional		$1,288.25	$1,348.96	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,148.15	Professional		$602.56	$977.24	$1,148.15
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 $575.44 / $1,047.13 / $1,659.59	Professional		$575.44	$1,047.13	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,380.38	Professional		$1,122.02	$1,318.26	$1,380.38