Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $6,918.31	Facility		$537.03	$645.65	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,122.02	Professional		$489.78	$645.65	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $1,905.46	Professional		$1,071.52	$1,513.56	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,778.28	Facility		$758.58	$1,000.00	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,621.81 / $5,754.40	Professional		$691.83	$1,621.81	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,659.59	Professional		$1,174.90	$1,412.54	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,819.70	Professional		$1,174.90	$1,412.54	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,348.96	Professional		$776.25	$1,047.13	$1,348.96
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 $707.95 / $1,174.90 / $1,905.46	Professional		$707.95	$1,174.90	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,513.56	Professional		$1,047.13	$1,258.93	$1,513.56