Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $4,365.16	Facility		$724.44	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,479.11	Professional		$630.96	$724.44	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,137.96	Professional		$1,258.93	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,698.24	Facility		$954.99	$1,230.27	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $5,623.41	Professional		$691.83	$1,202.26	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $1,659.59	Professional		$1,258.93	$1,659.59	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,584.89	Professional		$1,258.93	$1,258.93	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,445.44	Professional		$794.33	$1,202.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,995.26	Professional		$776.25	$1,288.25	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,778.28	Professional		$1,445.44	$1,698.24	$1,778.28