Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,365.16 / $14,125.38	Facility		$794.33	$4,365.16	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $7,762.47	Professional		$724.44	$1,202.26	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,290.87	Professional		$1,380.38	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,949.84	Facility		$1,000.00	$1,318.26	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $5,888.44	Professional		$724.44	$1,230.27	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,778.28	Professional		$1,548.82	$1,698.24	$1,778.28
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 / $1,288.25 / $1,548.82	Professional		$851.14	$1,288.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,089.30	Professional		$794.33	$1,348.96	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Professional		$1,548.82	$1,819.70	$1,905.46