Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $4,365.16	Facility		$602.56	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,513.56	Professional		$575.44	$707.95	$1,513.56
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 / $933.25 / $1,862.09	Facility		$549.54	$933.25	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $4,897.79	Professional		$602.56	$1,000.00	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,621.81	Professional		$1,380.38	$1,445.44	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,318.26	Professional		$741.31	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,737.80	Professional		$630.96	$1,023.29	$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