Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,715.35 / $4,897.79	Facility		$549.54	$3,715.35	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,023.29	Professional		$478.63	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,584.89	Professional		$954.99	$1,258.93	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,479.11	Facility		$660.69	$912.01	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $4,897.79	Professional		$501.19	$977.24	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,288.25	Professional		$1,148.15	$1,288.25	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,288.25	Professional		$1,148.15	$1,148.15	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,047.13	Professional		$630.96	$912.01	$1,047.13
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 $630.96 / $1,000.00 / $1,621.81	Professional		$630.96	$1,000.00	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,258.93	Professional		$1,023.29	$1,230.27	$1,258.93