Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,951.21 / $6,165.95	Facility		$489.78	$2,951.21	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,819.70	Professional		$457.09	$707.95	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,187.76	Professional		$1,174.90	$1,445.44	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,819.70	Facility		$588.84	$1,000.00	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,348.96 / $5,754.40	Professional		$616.60	$1,348.96	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $1,621.81	Professional		$1,096.48	$1,122.02	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,445.44	Professional		$1,000.00	$1,000.00	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,445.44	Professional		$794.33	$1,071.52	$1,445.44
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 $616.60 / $1,122.02 / $1,905.46	Professional		$616.60	$1,122.02	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,698.24	Professional		$954.99	$1,148.15	$1,698.24