Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $4,365.16	Facility		$776.25	$776.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,318.26	Professional		$660.69	$776.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,187.76	Professional		$1,318.26	$1,778.28	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,819.70	Facility		$1,000.00	$1,288.25	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $5,623.41	Professional		$707.95	$1,174.90	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,621.81	Professional		$1,445.44	$1,584.89	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,548.82	Professional		$1,445.44	$1,445.44	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,479.11	Professional		$758.58	$1,174.90	$1,479.11
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 $758.58 / $1,288.25 / $1,995.26	Professional		$758.58	$1,288.25	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,778.28	Professional		$1,479.11	$1,737.80	$1,778.28