Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,090.30 / $4,365.16	Facility		$537.03	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $851.14	Professional		$537.03	$616.60	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,737.80	Professional		$1,318.26	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,698.24	Facility		$724.44	$851.14	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $4,466.84	Professional		$562.34	$1,071.52	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,380.38	Professional		$1,230.27	$1,318.26	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,174.90	Professional		$776.25	$1,023.29	$1,174.90
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 $691.83 / $1,202.26 / $1,659.59	Professional		$691.83	$1,202.26	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,380.38	Professional		$1,148.15	$1,348.96	$1,380.38