Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,548.13 / $4,365.16	Facility		$575.44	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,122.02	Professional		$478.63	$575.44	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,621.81	Professional		$933.25	$1,288.25	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,288.25	Facility		$676.08	$933.25	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $4,073.80	Professional		$512.86	$831.76	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,148.15	Professional		$1,000.00	$1,096.48	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,096.48	Professional		$1,000.00	$1,000.00	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,071.52	Professional		$524.81	$831.76	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,445.44	Professional		$537.03	$954.99	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,288.25	Professional		$1,071.52	$1,258.93	$1,288.25