Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,090.30 / $4,365.16	Facility		$537.03	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $870.96	Professional		$524.81	$575.44	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,621.81	Professional		$1,258.93	$1,318.26	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $1,548.82	Facility		$691.83	$891.25	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $4,265.80	Professional		$524.81	$1,047.13	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,348.96	Professional		$1,202.26	$1,258.93	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,122.02	Professional		$724.44	$977.24	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,621.81	Professional		$630.96	$1,096.48	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,348.96	Professional		$1,096.48	$1,288.25	$1,348.96