Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,548.13 / $4,365.16	Facility		$676.08	$3,548.13	$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 $870.96 / $1,122.02 / $1,737.80	Facility		$870.96	$1,122.02	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $5,248.07	Professional		$630.96	$1,096.48	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,513.56	Professional		$1,230.27	$1,513.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,479.11	Professional		$1,230.27	$1,230.27	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,348.96	Professional		$724.44	$1,148.15	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,862.09	Professional		$724.44	$1,202.26	$1,862.09
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