Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $4,365.16	Facility		$575.44	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $1,174.90	Professional		$524.81	$575.44	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,659.59	Professional		$1,000.00	$1,348.96	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,479.11	Facility		$741.31	$977.24	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $4,365.16	Professional		$524.81	$912.01	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,202.26	Professional		$1,174.90	$1,174.90	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,148.15	Professional		$630.96	$954.99	$1,148.15
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 $588.84 / $1,000.00 / $1,548.82	Professional		$588.84	$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