Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $4,365.16	Facility		$676.08	$794.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,288.25	Professional		$630.96	$812.83	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,187.76	Professional		$1,230.27	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $1,778.28	Facility		$549.54	$933.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,318.26 / $5,495.41	Professional		$630.96	$1,318.26	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,698.24	Professional		$1,479.11	$1,479.11	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,412.54	Professional		$776.25	$1,202.26	$1,412.54
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 $645.65 / $1,148.15 / $1,995.26	Professional		$645.65	$1,148.15	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,698.24	Professional		$1,174.90	$1,445.44	$1,698.24