Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $10,232.93	Facility		$707.95	$3,090.30	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $812.83	Professional		$562.34	$724.44	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,905.46	Professional		$1,412.54	$1,513.56	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,659.59	Facility		$794.33	$954.99	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $7,585.78	Professional		$588.84	$1,122.02	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,412.54	Professional		$1,258.93	$1,412.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,258.93	Professional		$691.83	$1,071.52	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,737.80	Professional		$660.69	$1,202.26	$1,737.80
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