Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,513.56	Professional		$645.65	$758.58	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,238.72	Professional		$1,258.93	$1,778.28	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,737.80	Facility		$912.01	$1,258.93	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $6,760.83	Professional		$676.08	$1,096.48	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $1,778.28	Professional		$1,202.26	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Professional		$1,202.26	$1,202.26	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,548.82	Professional		$776.25	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $2,041.74	Professional		$676.08	$1,202.26	$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