Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,365.16 / $4,897.79	Facility		$707.95	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,412.54	Professional		$602.56	$707.95	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,089.30	Professional		$1,230.27	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,659.59	Facility		$933.25	$1,202.26	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $5,370.32	Professional		$676.08	$1,174.90	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,621.81	Professional		$1,230.27	$1,621.81	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,584.89	Professional		$1,230.27	$1,230.27	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,412.54	Professional		$776.25	$1,174.90	$1,412.54
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 $758.58 / $1,288.25 / $1,949.84	Professional		$758.58	$1,288.25	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,737.80	Professional		$1,412.54	$1,659.59	$1,737.80