Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,365.16 / $6,606.93	Facility		$602.56	$4,365.16	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $794.33	Professional		$588.84	$645.65	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,862.09	Professional		$1,412.54	$1,479.11	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,698.24	Facility		$794.33	$1,023.29	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $19,054.61	Professional		$588.84	$1,148.15	$19,054.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,479.11	Professional		$1,318.26	$1,412.54	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,258.93	Professional		$812.83	$1,071.52	$1,258.93
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 $691.83 / $1,202.26 / $1,778.28	Professional		$691.83	$1,202.26	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Professional		$1,230.27	$1,445.44	$1,513.56