Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $4,365.16	Facility		$776.25	$776.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,513.56	Professional		$707.95	$776.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,238.72	Professional		$1,348.96	$1,778.28	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,041.74	Facility		$1,000.00	$1,288.25	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Professional		$707.95	$1,258.93	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,737.80	Professional		$1,621.81	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Professional		$1,621.81	$1,621.81	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,548.82	Professional		$851.14	$1,318.26	$1,548.82
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 $812.83 / $1,348.96 / $2,137.96	Professional		$812.83	$1,348.96	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Professional		$1,513.56	$1,778.28	$1,862.09