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 / $691.83 / $1,318.26	Professional		$588.84	$691.83	$1,318.26
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 / $912.01 / $1,862.09	Facility		$549.54	$912.01	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $4,897.79	Professional		$676.08	$1,000.00	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,621.81	Professional		$1,479.11	$1,513.56	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,318.26	Professional		$794.33	$1,122.02	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,737.80	Professional		$691.83	$1,047.13	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,584.89	Professional		$1,318.26	$1,584.89	$1,584.89