Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,548.13 / $4,365.16	Facility		$549.54	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $1,096.48	Professional		$501.19	$549.54	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,584.89	Professional		$954.99	$1,288.25	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,380.38	Facility		$660.69	$891.25	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $4,073.80	Professional		$489.78	$891.25	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,230.27	Professional		$1,096.48	$1,202.26	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,174.90	Professional		$1,096.48	$1,096.48	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,071.52	Professional		$575.44	$891.25	$1,071.52
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 $575.44 / $954.99 / $1,479.11	Professional		$575.44	$954.99	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,318.26	Professional		$1,071.52	$1,258.93	$1,318.26