Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $4,365.16	Facility		$707.95	$707.95	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,479.11	Professional		$691.83	$812.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,187.76	Professional		$1,230.27	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $1,995.26	Facility		$645.65	$977.24	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $5,623.41	Professional		$707.95	$1,174.90	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,862.09	Professional		$1,737.80	$1,737.80	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,548.82	Professional		$851.14	$1,288.25	$1,548.82
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 $724.44 / $1,230.27 / $2,041.74	Professional		$724.44	$1,230.27	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,862.09	Professional		$1,513.56	$1,862.09	$1,862.09