Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $4,365.16	Facility		$616.60	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,148.15	Professional		$562.34	$616.60	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,778.28	Professional		$1,071.52	$1,445.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,584.89	Facility		$741.31	$1,023.29	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,000.00 / $4,570.88	Professional		$537.03	$1,000.00	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Professional		$1,288.25	$1,288.25	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,230.27	Professional		$645.65	$1,047.13	$1,230.27
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 $645.65 / $1,096.48 / $1,698.24	Professional		$645.65	$1,096.48	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,479.11	Professional		$1,202.26	$1,412.54	$1,479.11