Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $4,365.16	Facility		$562.34	$562.34	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $870.96	Professional		$549.54	$602.56	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,737.80	Professional		$1,318.26	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $1,584.89	Facility		$741.31	$954.99	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $9,772.37	Professional		$562.34	$1,071.52	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,380.38	Professional		$1,230.27	$1,318.26	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,174.90	Professional		$776.25	$1,000.00	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,659.59	Professional		$645.65	$1,122.02	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,412.54	Professional		$1,148.15	$1,348.96	$1,412.54