Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,365.16	Facility		$741.31	$741.31	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $851.14	Professional		$645.65	$758.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,041.74	Professional		$1,513.56	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,737.80	Facility		$812.83	$1,023.29	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $6,606.93	Professional		$602.56	$1,202.26	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,513.56	Professional		$1,318.26	$1,479.11	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,348.96	Professional		$741.31	$1,122.02	$1,348.96
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 $691.83 / $1,258.93 / $1,862.09	Professional		$691.83	$1,258.93	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,584.89	Professional		$1,288.25	$1,513.56	$1,584.89