Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,548.13 / $4,365.16	Facility		$645.65	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $831.76	Professional		$575.44	$660.69	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,995.26	Professional		$1,548.82	$1,621.81	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,949.84	Facility		$851.14	$1,000.00	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $5,248.07	Professional		$645.65	$1,258.93	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,584.89	Professional		$1,445.44	$1,548.82	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,380.38	Professional		$812.83	$1,202.26	$1,380.38
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 $794.33 / $1,348.96 / $1,949.84	Professional		$794.33	$1,348.96	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Professional		$1,348.96	$1,584.89	$1,659.59