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 / $630.96 / $1,230.27	Professional		$562.34	$630.96	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,862.09	Professional		$1,148.15	$1,479.11	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,659.59	Facility		$812.83	$1,023.29	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $4,786.30	Professional		$588.84	$1,071.52	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,479.11	Professional		$1,318.26	$1,479.11	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,412.54	Professional		$1,318.26	$1,318.26	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,230.27	Professional		$758.58	$1,047.13	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,778.28	Professional		$691.83	$1,148.15	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Professional		$1,230.27	$1,445.44	$1,513.56