Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $4,897.79	Facility		$831.76	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,698.24	Professional		$758.58	$831.76	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,398.83	Professional		$1,445.44	$1,949.84	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,137.96	Facility		$1,096.48	$1,380.38	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $6,606.93	Professional		$776.25	$1,348.96	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $1,862.09	Professional		$1,621.81	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,819.70	Professional		$1,621.81	$1,621.81	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $1,659.59	Professional		$933.25	$1,412.54	$1,659.59
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 $870.96 / $1,479.11 / $2,290.87	Professional		$870.96	$1,479.11	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Professional		$1,621.81	$1,905.46	$1,995.26