Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $4,365.16	Facility		$812.83	$812.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,659.59	Professional		$691.83	$812.83	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,344.23	Professional		$1,380.38	$1,862.09	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,949.84	Facility		$1,047.13	$1,348.96	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $5,888.44	Professional		$724.44	$1,202.26	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,659.59	Professional		$1,380.38	$1,659.59	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Professional		$1,380.38	$1,380.38	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,548.82	Professional		$794.33	$1,258.93	$1,548.82
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 $776.25 / $1,380.38 / $2,137.96	Professional		$776.25	$1,380.38	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Professional		$1,548.82	$1,819.70	$1,905.46