Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $4,365.16	Facility		$724.44	$724.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,479.11	Professional		$645.65	$724.44	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,089.30	Professional		$1,230.27	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,698.24	Facility		$851.14	$1,202.26	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $6,760.83	Professional		$630.96	$1,148.15	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,621.81	Professional		$1,380.38	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Professional		$1,380.38	$1,380.38	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,412.54	Professional		$741.31	$1,122.02	$1,412.54
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 / $1,288.25 / $1,995.26	Professional		$741.31	$1,288.25	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,698.24	Professional		$1,380.38	$1,621.81	$1,698.24