Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $4,365.16	Facility		$616.60	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,258.93	Professional		$562.34	$630.96	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,778.28	Professional		$1,071.52	$1,445.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,698.24	Facility		$741.31	$1,047.13	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $5,248.07	Professional		$575.44	$1,000.00	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,380.38	Professional		$1,230.27	$1,380.38	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Professional		$1,230.27	$1,230.27	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,230.27	Professional		$676.08	$1,047.13	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,698.24	Professional		$676.08	$1,096.48	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,479.11	Professional		$1,202.26	$1,445.44	$1,479.11