Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,365.16 / $5,623.41	Facility		$588.84	$4,365.16	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $758.58	Professional		$588.84	$676.08	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,905.46	Professional		$1,445.44	$1,513.56	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,819.70	Facility		$794.33	$1,000.00	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $4,897.79	Professional		$616.60	$1,174.90	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,548.82	Professional		$1,380.38	$1,445.44	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,288.25	Professional		$831.76	$1,122.02	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,819.70	Professional		$724.44	$1,258.93	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,513.56	Professional		$1,230.27	$1,479.11	$1,513.56