Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,365.16 / $4,897.79	Facility		$489.78	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $691.83	Professional		$489.78	$575.44	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Professional		$1,230.27	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,513.56	Facility		$645.65	$831.76	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $4,073.80	Professional		$489.78	$954.99	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,230.27	Professional		$1,122.02	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,096.48	Professional		$616.60	$933.25	$1,096.48
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 $575.44 / $1,047.13 / $1,479.11	Professional		$575.44	$1,047.13	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,318.26	Professional		$1,071.52	$1,258.93	$1,318.26