Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $4,365.16	Facility		$616.60	$616.60	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $2,137.96	Professional		$616.60	$707.95	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,995.26	Professional		$1,513.56	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,905.46	Facility		$831.76	$1,047.13	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,230.27 / $5,128.61	Professional		$645.65	$1,230.27	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,621.81	Professional		$1,412.54	$1,513.56	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Professional		$912.01	$1,148.15	$1,348.96
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 $776.25 / $1,348.96 / $1,905.46	Professional		$776.25	$1,348.96	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,584.89	Professional		$1,318.26	$1,548.82	$1,584.89