Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,548.13 / $4,365.16	Facility		$741.31	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,513.56	Professional		$676.08	$758.58	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,137.96	Professional		$1,288.25	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,041.74	Facility		$954.99	$1,258.93	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $6,165.95	Professional		$691.83	$1,230.27	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,659.59	Professional		$1,548.82	$1,659.59	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Professional		$1,548.82	$1,548.82	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,479.11	Professional		$851.14	$1,258.93	$1,479.11
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 $831.76 / $1,318.26 / $2,041.74	Professional		$831.76	$1,318.26	$2,041.74
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