Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,365.16 / $6,918.31	Facility		$724.44	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $831.76	Professional		$630.96	$741.31	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,995.26	Professional		$1,445.44	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,698.24	Facility		$741.31	$1,000.00	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $6,760.83	Professional		$588.84	$1,148.15	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,445.44	Professional		$1,288.25	$1,445.44	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,288.25	Professional		$691.83	$1,096.48	$1,288.25
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 $676.08 / $1,230.27 / $1,778.28	Professional		$676.08	$1,230.27	$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