Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $676.08 / $4,365.16	Facility		$489.78	$676.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,096.48	Professional		$489.78	$676.08	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,819.70	Professional		$977.24	$1,348.96	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $676.08 / $1,513.56	Facility		$398.11	$676.08	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $4,677.35	Professional		$537.03	$1,071.52	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Professional		$1,071.52	$1,071.52	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,202.26	Professional		$616.60	$891.25	$1,202.26
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 $524.81 / $870.96 / $1,659.59	Professional		$524.81	$870.96	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,412.54	Professional		$870.96	$1,047.13	$1,412.54