Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $4,365.16	Facility		$562.34	$562.34	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $676.08	Professional		$501.19	$588.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,548.82	Professional		$1,202.26	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,479.11	Facility		$660.69	$954.99	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $5,011.87	Professional		$501.19	$954.99	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,258.93	Professional		$1,122.02	$1,202.26	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,047.13	Professional		$630.96	$933.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,513.56	Professional		$588.84	$1,023.29	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,230.27	Professional		$1,000.00	$1,174.90	$1,230.27