Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,090.30 / $4,365.16	Facility		$588.84	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $1,202.26	Professional		$537.03	$588.84	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,737.80	Professional		$1,023.29	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,621.81	Facility		$776.25	$1,023.29	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $6,456.54	Professional		$549.54	$912.01	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,318.26	Professional		$1,174.90	$1,318.26	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Professional		$1,174.90	$1,174.90	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,174.90	Professional		$676.08	$1,000.00	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,621.81	Professional		$588.84	$1,047.13	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,412.54	Professional		$1,174.90	$1,380.38	$1,412.54