Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,365.16 / $4,897.79	Facility		$758.58	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,548.82	Professional		$691.83	$776.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,187.76	Professional		$1,318.26	$1,778.28	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,862.09	Facility		$933.25	$1,288.25	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $8,317.64	Professional		$707.95	$1,174.90	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,778.28	Professional		$1,513.56	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,584.89	Professional		$1,513.56	$1,513.56	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,513.56	Professional		$851.14	$1,230.27	$1,513.56
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 $776.25 / $1,380.38 / $2,187.76	Professional		$776.25	$1,380.38	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,819.70	Professional		$1,479.11	$1,737.80	$1,819.70