Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $4,365.16	Facility		$691.83	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $912.01	Professional		$645.65	$691.83	$912.01
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 $831.76 / $1,000.00 / $1,905.46	Facility		$831.76	$1,000.00	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,230.27 / $5,128.61	Professional		$645.65	$1,230.27	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,548.82	Professional		$1,412.54	$1,513.56	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,348.96	Professional		$794.33	$1,174.90	$1,348.96
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 $758.58 / $1,318.26 / $1,905.46	Professional		$758.58	$1,318.26	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,584.89	Professional		$1,318.26	$1,548.82	$1,584.89