Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $4,365.16	Facility		$676.08	$676.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,023.29	Professional		$676.08	$758.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $2,137.96	Professional		$1,621.81	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,089.30	Facility		$891.25	$1,122.02	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $5,495.41	Professional		$691.83	$1,348.96	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,737.80	Professional		$1,548.82	$1,621.81	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,445.44	Professional		$954.99	$1,258.93	$1,445.44
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 $812.83 / $1,412.54 / $2,089.30	Professional		$812.83	$1,412.54	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,737.80	Professional		$1,412.54	$1,659.59	$1,737.80