Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,412.54	Professional		$676.08	$758.58	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,290.87	Professional		$1,659.59	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,041.74	Facility		$954.99	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $5,888.44	Professional		$707.95	$1,412.54	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,778.28	Professional		$1,659.59	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,584.89	Professional		$851.14	$1,318.26	$1,584.89
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 $707.95 / $1,380.38 / $2,137.96	Professional		$707.95	$1,380.38	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,778.28	Professional		$1,445.44	$1,445.44	$1,778.28