Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $4,365.16	Facility		$724.44	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,479.11	Professional		$660.69	$724.44	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,089.30	Professional		$1,258.93	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,862.09	Facility		$870.96	$1,202.26	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $5,370.32	Professional		$676.08	$1,174.90	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,584.89	Professional		$1,479.11	$1,479.11	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,445.44	Professional		$812.83	$1,202.26	$1,445.44
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 $758.58 / $1,288.25 / $1,995.26	Professional		$758.58	$1,288.25	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,737.80	Professional		$1,412.54	$1,659.59	$1,737.80