Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $4,365.16	Facility		$758.58	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,548.82	Professional		$676.08	$758.58	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,995.26	Facility		$912.01	$1,258.93	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $7,079.46	Professional		$691.83	$1,258.93	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $1,737.80	Professional		$1,548.82	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,659.59	Professional		$1,548.82	$1,548.82	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,445.44	Professional		$831.76	$1,230.27	$1,445.44
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 $812.83 / $1,348.96 / $2,089.30	Professional		$812.83	$1,348.96	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Professional		$1,445.44	$1,698.24	$1,778.28