Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $4,365.16	Facility		$758.58	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,348.96	Professional		$691.83	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,187.76	Professional		$1,318.26	$1,778.28	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,949.84	Facility		$891.25	$1,202.26	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $5,623.41	Professional		$676.08	$1,258.93	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,698.24	Professional		$1,584.89	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,659.59	Professional		$1,584.89	$1,584.89	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,513.56	Professional		$812.83	$1,288.25	$1,513.56
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 $812.83 / $1,348.96 / $2,089.30	Professional		$812.83	$1,348.96	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,819.70	Professional		$1,479.11	$1,778.28	$1,819.70