Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $4,365.16	Facility		$457.09	$660.69	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,071.52	Professional		$457.09	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,778.28	Professional		$912.01	$1,258.93	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $1,479.11	Facility		$389.05	$741.31	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $4,897.79	Professional		$512.86	$1,000.00	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,380.38	Professional		$1,000.00	$1,000.00	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,174.90	Professional		$588.84	$851.14	$1,174.90
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 $512.86 / $851.14 / $1,621.81	Professional		$512.86	$851.14	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,380.38	Professional		$812.83	$1,000.00	$1,380.38