Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,089.30 / $4,466.84	Facility		$501.19	$2,089.30	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $1,318.26	Professional		$457.09	$537.03	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,584.89	Professional		$812.83	$1,288.25	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,288.25	Facility		$660.69	$851.14	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,096.48 / $4,073.80	Professional		$478.63	$1,096.48	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,202.26	Professional		$1,096.48	$1,122.02	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,174.90	Professional		$1,023.29	$1,096.48	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,096.48	Professional		$602.56	$912.01	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,479.11	Professional		$562.34	$954.99	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,318.26	Professional		$977.24	$1,202.26	$1,318.26