Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $4,365.16	Facility		$707.95	$707.95	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,258.93	Professional		$630.96	$707.95	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,041.74	Professional		$1,230.27	$1,659.59	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,041.74	Facility		$933.25	$1,174.90	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $5,128.61	Professional		$660.69	$1,258.93	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $1,621.81	Professional		$1,445.44	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,659.59	Professional		$1,445.44	$1,445.44	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,348.96	Professional		$870.96	$1,174.90	$1,348.96
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 $794.33 / $1,288.25 / $2,089.30	Professional		$794.33	$1,288.25	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Professional		$1,348.96	$1,584.89	$1,659.59