Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,365.16 / $4,897.79	Facility		$741.31	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $1,412.54	Professional		$660.69	$741.31	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,137.96	Professional		$1,258.93	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,778.28	Facility		$891.25	$1,230.27	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $5,370.32	Professional		$676.08	$1,148.15	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $1,737.80	Professional		$1,445.44	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,513.56	Professional		$1,445.44	$1,445.44	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,445.44	Professional		$794.33	$1,174.90	$1,445.44
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 $741.31 / $1,318.26 / $2,089.30	Professional		$741.31	$1,318.26	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,737.80	Professional		$1,412.54	$1,659.59	$1,737.80