Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,621.81	Professional		$758.58	$870.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,344.23	Professional		$1,348.96	$1,862.09	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $2,187.76	Facility		$691.83	$1,071.52	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $6,165.95	Professional		$758.58	$1,288.25	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Professional		$1,862.09	$1,862.09	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,659.59	Professional		$954.99	$1,380.38	$1,659.59
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 $794.33 / $1,348.96 / $2,187.76	Professional		$794.33	$1,348.96	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,041.74	Professional		$1,659.59	$2,041.74	$2,041.74