Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $4,365.16	Facility		$707.95	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,905.46	Professional		$707.95	$851.14	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,290.87	Professional		$1,737.80	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,187.76	Facility		$933.25	$1,122.02	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $5,888.44	Professional		$741.31	$1,380.38	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,819.70	Professional		$1,584.89	$1,698.24	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,513.56	Professional		$1,000.00	$1,288.25	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $2,137.96	Professional		$831.76	$1,445.44	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,819.70	Professional		$1,479.11	$1,737.80	$1,819.70