Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,122.02	Professional		$524.81	$630.96	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,288.25	Professional		$1,023.29	$1,071.52	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $4,265.80	Professional		$562.34	$1,000.00	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,288.25	Professional		$1,230.27	$1,258.93	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,445.44	Professional		$1,288.25	$1,288.25	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,096.48	Professional		$575.44	$870.96	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,380.38	Professional		$691.83	$1,047.13	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,202.26	Professional		$977.24	$1,202.26	$1,202.26