Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $4,365.16	Facility		$794.33	$794.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,621.81	Professional		$724.44	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,290.87	Professional		$1,380.38	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,041.74	Facility		$1,047.13	$1,348.96	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $5,888.44	Professional		$741.31	$1,288.25	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,778.28	Professional		$1,659.59	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Professional		$1,659.59	$1,659.59	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,584.89	Professional		$891.25	$1,348.96	$1,584.89
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 $831.76 / $1,412.54 / $2,187.76	Professional		$831.76	$1,412.54	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,905.46	Professional		$1,584.89	$1,862.09	$1,905.46