Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $4,365.16	Facility		$691.83	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,230.27	Professional		$630.96	$707.95	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,041.74	Professional		$1,202.26	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,862.09	Facility		$758.58	$1,122.02	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $5,128.61	Professional		$588.84	$1,174.90	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Professional		$1,479.11	$1,479.11	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,174.90 / $1,380.38	Professional		$489.78	$1,174.90	$1,380.38
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 / $1,258.93 / $1,949.84	Professional		$758.58	$1,258.93	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,659.59	Professional		$1,380.38	$1,621.81	$1,659.59