Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $4,365.16	Facility		$602.56	$602.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,479.11	Professional		$588.84	$676.08	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,862.09	Professional		$1,047.13	$1,479.11	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,819.70	Facility		$549.54	$1,000.00	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $4,786.30	Professional		$602.56	$977.24	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,584.89	Professional		$1,412.54	$1,445.44	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,258.93	Professional		$724.44	$1,047.13	$1,258.93
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 $602.56 / $977.24 / $1,737.80	Professional		$602.56	$977.24	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,513.56	Professional		$1,230.27	$1,513.56	$1,513.56