Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $4,365.16	Facility		$691.83	$691.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,445.44	Professional		$676.08	$794.33	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,137.96	Professional		$1,202.26	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,995.26	Facility		$630.96	$1,047.13	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $5,623.41	Professional		$691.83	$1,148.15	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,862.09	Professional		$1,659.59	$1,698.24	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,513.56	Professional		$851.14	$1,230.27	$1,513.56
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 / $1,202.26 / $1,995.26	Professional		$724.44	$1,202.26	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,819.70	Professional		$1,513.56	$1,819.70	$1,819.70