Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $4,365.16	Facility		$676.08	$676.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $1,380.38	Professional		$616.60	$676.08	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $1,949.84	Professional		$1,174.90	$1,584.89	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,698.24	Facility		$812.83	$1,148.15	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $5,495.41	Professional		$630.96	$1,096.48	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,513.56	Professional		$1,380.38	$1,479.11	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Professional		$1,380.38	$1,380.38	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,348.96	Professional		$741.31	$1,122.02	$1,348.96
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 $707.95 / $1,174.90 / $1,819.70	Professional		$707.95	$1,174.90	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Professional		$1,318.26	$1,548.82	$1,621.81