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 / $724.44 / $1,023.29	Professional		$645.65	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,041.74	Professional		$1,548.82	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,862.09	Facility		$870.96	$1,047.13	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,288.25 / $5,623.41	Professional		$645.65	$1,288.25	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,698.24	Professional		$1,445.44	$1,548.82	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,380.38	Professional		$912.01	$1,174.90	$1,380.38
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 $758.58 / $1,318.26 / $1,949.84	Professional		$758.58	$1,318.26	$1,949.84
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