Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,365.16 / $4,897.79	Facility		$537.03	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $794.33	Professional		$478.63	$537.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,659.59	Professional		$1,288.25	$1,348.96	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $1,479.11	Facility		$707.95	$912.01	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,023.29 / $4,365.16	Professional		$537.03	$1,023.29	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,318.26	Professional		$1,174.90	$1,288.25	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,148.15	Professional		$676.08	$977.24	$1,148.15
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 $602.56 / $1,047.13 / $1,548.82	Professional		$602.56	$1,047.13	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,380.38	Professional		$1,122.02	$1,318.26	$1,380.38