Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $4,365.16	Facility		$562.34	$676.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,122.02	Professional		$501.19	$660.69	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,949.84	Professional		$1,071.52	$1,548.82	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,862.09	Facility		$741.31	$1,023.29	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,621.81 / $4,786.30	Professional		$660.69	$1,621.81	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,621.81	Professional		$1,202.26	$1,380.38	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Professional		$1,174.90	$1,380.38	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,412.54	Professional		$794.33	$1,071.52	$1,412.54
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 $724.44 / $1,230.27 / $2,041.74	Professional		$724.44	$1,230.27	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,548.82	Professional		$1,071.52	$1,288.25	$1,548.82