Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $4,365.16	Facility		$630.96	$630.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,318.26	Professional		$630.96	$724.44	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,995.26	Professional		$1,122.02	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $1,905.46	Facility		$562.34	$954.99	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $5,011.87	Professional		$645.65	$1,047.13	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,659.59	Professional		$1,548.82	$1,584.89	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,412.54	Professional		$794.33	$1,122.02	$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 $645.65 / $1,122.02 / $1,819.70	Professional		$645.65	$1,122.02	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,698.24	Professional		$1,380.38	$1,698.24	$1,698.24