Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $4,365.16	Facility		$741.31	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $1,513.56	Professional		$691.83	$741.31	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,187.76	Professional		$1,288.25	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,949.84	Facility		$977.24	$1,258.93	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $6,025.60	Professional		$707.95	$1,230.27	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,698.24	Professional		$1,548.82	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Professional		$1,548.82	$1,548.82	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,479.11	Professional		$851.14	$1,258.93	$1,479.11
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 $794.33 / $1,348.96 / $2,041.74	Professional		$794.33	$1,348.96	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,819.70	Professional		$1,479.11	$1,737.80	$1,819.70