Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,365.16	Facility		$741.31	$741.31	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,513.56	Professional		$676.08	$741.31	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,238.72	Professional		$1,318.26	$1,778.28	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,905.46	Facility		$954.99	$1,230.27	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $5,495.41	Professional		$676.08	$1,202.26	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,698.24	Professional		$1,513.56	$1,659.59	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,584.89	Professional		$1,513.56	$1,513.56	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,513.56	Professional		$812.83	$1,230.27	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,041.74	Professional		$776.25	$1,318.26	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,819.70	Professional		$1,513.56	$1,778.28	$1,819.70