Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,897.79 / $6,165.95	Facility		$630.96	$4,897.79	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,348.96	Professional		$575.44	$660.69	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,862.09	Professional		$1,096.48	$1,479.11	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,778.28	Facility		$831.76	$1,071.52	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $5,623.41	Professional		$588.84	$1,148.15	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,513.56	Professional		$1,318.26	$1,318.26	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,230.27	Professional		$758.58	$1,096.48	$1,230.27
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 / $1,148.15 / $1,862.09	Professional		$741.31	$1,148.15	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Professional		$1,230.27	$1,445.44	$1,513.56