Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,365.16	Facility		$870.96	$870.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,737.80	Professional		$758.58	$851.14	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,454.71	Professional		$1,479.11	$1,949.84	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,041.74	Facility		$1,122.02	$1,412.54	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $6,165.95	Professional		$776.25	$1,318.26	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $1,819.70	Professional		$1,659.59	$1,819.70	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Professional		$1,659.59	$1,659.59	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,621.81	Professional		$870.96	$1,348.96	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,290.87	Professional		$870.96	$1,445.44	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Professional		$1,621.81	$1,905.46	$1,995.26