Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,548.13 / $4,365.16	Facility		$630.96	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,122.02	Professional		$575.44	$630.96	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,819.70	Professional		$1,096.48	$1,445.44	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,621.81	Facility		$812.83	$1,047.13	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $4,677.35	Professional		$588.84	$1,023.29	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,412.54	Professional		$1,288.25	$1,412.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,348.96	Professional		$1,288.25	$1,288.25	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,230.27	Professional		$707.95	$1,047.13	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,698.24	Professional		$660.69	$1,122.02	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Professional		$1,230.27	$1,445.44	$1,513.56