Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $4,365.16	Facility		$691.83	$851.14	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,288.25	Professional		$616.60	$741.31	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,511.89	Professional		$1,479.11	$2,041.74	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,995.26	Facility		$794.33	$1,148.15	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,698.24 / $6,456.54	Professional		$758.58	$1,698.24	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,949.84	Professional		$1,548.82	$1,621.81	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,659.59	Professional		$1,348.96	$1,348.96	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $1,698.24	Professional		$891.25	$1,412.54	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $2,187.76	Professional		$758.58	$1,348.96	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,905.46	Professional		$1,288.25	$1,548.82	$1,905.46