Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $4,365.16	Facility		$616.60	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,174.90	Professional		$562.34	$616.60	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,819.70	Professional		$1,096.48	$1,445.44	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,584.89	Facility		$758.58	$1,023.29	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $4,570.88	Professional		$575.44	$1,023.29	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,380.38	Professional		$1,258.93	$1,380.38	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,348.96	Professional		$1,258.93	$1,258.93	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,230.27	Professional		$676.08	$1,047.13	$1,230.27
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 $660.69 / $1,096.48 / $1,698.24	Professional		$660.69	$1,096.48	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,479.11	Professional		$1,230.27	$1,445.44	$1,479.11