Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $4,365.16	Facility		$478.63	$478.63	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $794.33	Professional		$478.63	$549.54	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,548.82	Professional		$1,174.90	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,479.11	Facility		$645.65	$758.58	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $3,981.07	Professional		$501.19	$954.99	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,258.93	Professional		$1,096.48	$1,174.90	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13
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 $588.84 / $1,000.00 / $1,479.11	Professional		$588.84	$1,000.00	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,230.27	Professional		$1,023.29	$1,202.26	$1,230.27