Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $4,365.16	Facility		$707.95	$707.95	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,445.44	Professional		$645.65	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,041.74	Professional		$1,230.27	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,949.84	Facility		$912.01	$1,174.90	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $5,370.32	Professional		$660.69	$1,148.15	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,584.89	Professional		$1,318.26	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Professional		$1,318.26	$1,318.26	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,380.38	Professional		$776.25	$1,174.90	$1,380.38
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 $758.58 / $1,258.93 / $1,905.46	Professional		$758.58	$1,258.93	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,698.24	Professional		$1,380.38	$1,621.81	$1,698.24