Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $4,365.16	Facility		$575.44	$575.44	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,737.80	Professional		$575.44	$645.65	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,778.28	Professional		$1,000.00	$1,412.54	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,778.28	Facility		$524.81	$891.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $5,888.44	Professional		$602.56	$1,000.00	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,513.56	Professional		$1,348.96	$1,412.54	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,174.90	Professional		$724.44	$1,000.00	$1,174.90
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 $602.56 / $977.24 / $1,659.59	Professional		$602.56	$977.24	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,445.44	Professional		$1,174.90	$1,445.44	$1,445.44