Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.06 / $684.60 / $2,664.75	Facility		$506.06	$684.60	$2,664.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $620.62 / $1,062.83	Professional		$455.74	$620.62	$1,062.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.32 / $1,442.31 / $1,918.53	Professional		$1,029.32	$1,442.31	$1,918.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.74 / $971.24 / $1,567.03	Facility		$717.74	$971.24	$1,567.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $722.25 / $1,524.91 / $4,985.76	Professional		$722.25	$1,524.91	$4,985.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,484.71 / $2,824.47	Facility		$1,089.00	$1,484.71	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,003.07 / $1,292.17 / $1,767.91	Professional		$1,003.07	$1,292.17	$1,767.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $688.59 / $1,010.46 / $1,319.68	Professional		$688.59	$1,010.46	$1,319.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.04 / $1,205.55 / $1,875.30	Professional		$596.04	$1,205.55	$1,875.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,226.50 / $1,601.80	Professional		$1,002.40	$1,226.50	$1,601.80