Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,090.30 / $4,365.16	Facility		$776.25	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,584.89	Professional		$691.83	$776.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,238.72	Professional		$1,348.96	$1,819.70	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,041.74	Facility		$1,023.29	$1,288.25	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $8,128.31	Professional		$691.83	$1,258.93	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,778.28	Professional		$1,412.54	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,698.24	Professional		$1,412.54	$1,412.54	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,548.82	Professional		$776.25	$1,318.26	$1,548.82
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 $812.83 / $1,380.38 / $2,137.96	Professional		$812.83	$1,380.38	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,862.09	Professional		$1,513.56	$1,819.70	$1,862.09