Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $4,365.16	Facility		$602.56	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $933.25	Professional		$575.44	$645.65	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,819.70	Professional		$1,380.38	$1,445.44	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,698.24	Facility		$776.25	$912.01	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $5,623.41	Professional		$588.84	$1,122.02	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,479.11	Professional		$1,318.26	$1,380.38	$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 $831.76 / $1,071.52 / $1,230.27	Professional		$831.76	$1,071.52	$1,230.27
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 $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