Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $6,918.31	Facility		$831.76	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,737.80	Professional		$758.58	$851.14	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,454.71	Professional		$1,445.44	$1,949.84	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,187.76	Facility		$1,096.48	$1,412.54	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $14,791.08	Professional		$758.58	$1,412.54	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $1,905.46	Professional		$1,778.28	$1,905.46	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,659.59	Professional		$912.01	$1,412.54	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,344.23	Professional		$912.01	$1,513.56	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $1,995.26	Professional		$1,621.81	$1,949.84	$1,995.26