Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $4,365.16	Facility		$602.56	$602.56	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,862.09	Professional		$537.03	$616.60	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,905.46	Professional		$1,445.44	$1,548.82	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,698.24	Facility		$812.83	$954.99	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $5,495.41	Professional		$616.60	$1,174.90	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,513.56	Professional		$1,348.96	$1,445.44	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,288.25	Professional		$758.58	$1,096.48	$1,288.25
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 / $1,258.93 / $1,778.28	Professional		$691.83	$1,258.93	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,548.82	Professional		$1,258.93	$1,479.11	$1,548.82