Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,365.16 / $4,897.79	Facility		$660.69	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $1,174.90	Professional		$616.60	$660.69	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,905.46	Professional		$1,148.15	$1,548.82	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,737.80	Facility		$851.14	$1,122.02	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $5,011.87	Professional		$616.60	$1,096.48	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,513.56	Professional		$1,230.27	$1,513.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,318.26	Professional		$724.44	$1,122.02	$1,318.26
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 $707.95 / $1,202.26 / $1,819.70	Professional		$707.95	$1,202.26	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Professional		$1,318.26	$1,548.82	$1,621.81