Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $4,365.16	Facility		$562.34	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $1,148.15	Professional		$524.81	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,659.59	Professional		$1,000.00	$1,318.26	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,445.44	Facility		$724.44	$954.99	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $4,265.80	Professional		$512.86	$933.25	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,258.93	Professional		$1,174.90	$1,258.93	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Professional		$1,174.90	$1,174.90	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,122.02	Professional		$602.56	$954.99	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,548.82	Professional		$602.56	$1,000.00	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,380.38	Professional		$1,122.02	$1,318.26	$1,380.38