Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,090.30 / $4,365.16	Facility		$645.65	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,148.15	Professional		$524.81	$707.95	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,778.28	Professional		$1,258.93	$1,412.54	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $794.33 / $1,698.24	Facility		$457.09	$794.33	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $5,128.61	Professional		$524.81	$870.96	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,412.54	Professional		$1,318.26	$1,412.54	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,148.15	Professional		$616.60	$1,000.00	$1,148.15
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 $602.56 / $1,071.52 / $1,698.24	Professional		$602.56	$1,071.52	$1,698.24
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