Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.48 / $1,943.87 / $1,943.87	Facility		$437.48	$1,943.87	$1,943.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $631.91 / $2,779.39	Professional		$437.48	$631.91	$2,779.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.09 / $1,132.61 / $4,738.88	Professional		$906.09	$1,132.61	$4,738.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.76 / $2,264.33 / $5,445.50	Facility		$578.76	$2,264.33	$5,445.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,666.56 / $5,317.04 / $16,015.95	Professional		$2,666.56	$5,317.04	$16,015.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,020.50 / $4,081.87 / $5,519.12	Facility		$1,020.50	$4,081.87	$5,519.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $918.47 / $3,548.00 / $5,163.72	Professional		$918.47	$3,548.00	$5,163.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $693.97 / $2,605.19 / $3,705.99	Professional		$693.97	$2,605.19	$3,705.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $35,913.44	Facility		$5,357.00	$5,357.00	$35,913.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,444.34 / $3,571.15 / $5,555.12	Professional		$2,444.34	$3,571.15	$5,555.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $842.10 / $1,030.30 / $3,979.90	Professional		$842.10	$1,030.30	$3,979.90