Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $4,365.16	Facility		$676.08	$676.08	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,819.70	Professional		$630.96	$707.95	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,137.96	Professional		$1,698.24	$1,698.24	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,995.26	Facility		$912.01	$1,071.52	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $5,754.40	Professional		$707.95	$1,348.96	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $1,737.80	Professional		$1,621.81	$1,698.24	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,548.82	Professional		$933.25	$1,318.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,041.74	Professional		$812.83	$1,380.38	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Professional		$1,513.56	$1,778.28	$1,862.09