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 $724.44 / $870.96 / $1,778.28	Professional		$724.44	$870.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,454.71	Professional		$1,445.44	$1,995.26	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,905.46	Facility		$1,047.13	$1,445.44	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $6,309.57	Professional		$724.44	$1,148.15	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,819.70	Professional		$1,445.44	$1,819.70	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,513.56	Professional		$1,445.44	$1,445.44	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,659.59	Professional		$776.25	$1,230.27	$1,659.59
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 $741.31 / $1,348.96 / $2,187.76	Professional		$741.31	$1,348.96	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,041.74	Professional		$1,659.59	$1,949.84	$2,041.74