Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $4,365.16	Facility		$575.44	$724.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,148.15	Professional		$524.81	$645.65	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,238.72	Professional		$1,023.29	$1,819.70	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,445.44	Facility		$630.96	$1,023.29	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,174.90 / $5,623.41	Professional		$575.44	$1,174.90	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,380.38	Professional		$1,122.02	$1,122.02	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,318.26	Professional		$1,000.00	$1,071.52	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,445.44	Professional		$630.96	$1,096.48	$1,445.44
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 $562.34 / $1,023.29 / $1,698.24	Professional		$562.34	$1,023.29	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,778.28	Professional		$1,148.15	$1,412.54	$1,778.28