Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $4,365.16	Facility		$724.44	$724.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $977.24	Professional		$645.65	$794.33	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $2,041.74	Professional		$1,584.89	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,905.46	Facility		$851.14	$1,000.00	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $5,248.07	Professional		$660.69	$1,258.93	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,621.81	Professional		$1,513.56	$1,584.89	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,412.54	Professional		$851.14	$1,230.27	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $1,949.84	Professional		$758.58	$1,380.38	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Professional		$1,348.96	$1,584.89	$1,659.59