Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.14 / $732.66 / $1,254.19	Professional		$593.14	$732.66	$1,254.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.59 / $1,726.18 / $2,247.69	Professional		$1,115.59	$1,726.18	$2,247.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $770.40 / $1,769.33 / $5,774.16	Professional		$770.40	$1,769.33	$5,774.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,165.82 / $1,516.49 / $2,081.46	Professional		$1,165.82	$1,516.49	$2,081.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $801.09 / $1,214.88 / $1,494.99	Professional		$801.09	$1,214.88	$1,494.99
United Facility/Professional Professional Modifier Low / Median / High Price $681.21 / $1,417.50 / $2,205.00	Professional		$681.21	$1,417.50	$2,205.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,205.20 / $1,474.60 / $1,814.60	Professional		$1,205.20	$1,474.60	$1,814.60