Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $4,365.16	Facility		$724.44	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,445.44	Professional		$630.96	$707.95	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,041.74	Professional		$1,230.27	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,659.59	Facility		$851.14	$1,202.26	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $5,128.61	Professional		$645.65	$1,071.52	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,479.11	Professional		$1,318.26	$1,445.44	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,412.54	Professional		$1,318.26	$1,318.26	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,348.96	Professional		$691.83	$1,071.52	$1,348.96
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 $691.83 / $1,202.26 / $1,862.09	Professional		$691.83	$1,202.26	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Professional		$1,348.96	$1,584.89	$1,659.59