Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $4,365.16	Facility		$616.60	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,122.02	Professional		$537.03	$616.60	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,862.09	Professional		$1,318.26	$1,479.11	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,621.81	Facility		$724.44	$912.01	$1,621.81
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 $1,230.27 / $1,348.96 / $1,412.54	Professional		$1,230.27	$1,348.96	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,258.93	Professional		$660.69	$1,047.13	$1,258.93
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 $549.54 / $1,023.29 / $1,659.59	Professional		$549.54	$1,023.29	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,412.54	Professional		$1,148.15	$1,148.15	$1,412.54