Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $4,365.16	Facility		$660.69	$660.69	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $891.25	Professional		$645.65	$707.95	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,995.26	Professional		$1,548.82	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,905.46	Facility		$851.14	$1,122.02	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,288.25 / $5,248.07	Professional		$645.65	$1,288.25	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,659.59	Professional		$1,479.11	$1,548.82	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,380.38	Professional		$954.99	$1,202.26	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $1,995.26	Professional		$776.25	$1,348.96	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Professional		$1,348.96	$1,584.89	$1,659.59