Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $4,365.16	Facility		$870.96	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,348.96	Professional		$758.58	$870.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,570.40	Professional		$1,819.70	$2,041.74	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $3,162.28	Facility		$812.83	$1,348.96	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $7,762.47	Professional		$812.83	$1,621.81	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $2,089.30	Professional		$1,202.26	$2,089.30	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,454.71	Professional		$831.76	$1,380.38	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,202.26	Professional		$1,000.00	$1,000.00	$1,202.26