Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,365.16 / $4,897.79	Facility		$812.83	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,621.81	Professional		$758.58	$812.83	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,398.83	Professional		$1,412.54	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,137.96	Facility		$1,000.00	$1,380.38	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $6,165.95	Professional		$758.58	$1,348.96	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $1,862.09	Professional		$1,698.24	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,819.70	Professional		$1,698.24	$1,698.24	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,621.81	Professional		$954.99	$1,380.38	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,238.72	Professional		$870.96	$1,479.11	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Professional		$1,621.81	$1,905.46	$1,995.26