Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $1,513.56	Facility		$933.25	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,584.89	Professional		$891.25	$1,023.29	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,235.94	Professional		$1,862.09	$2,570.40	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,454.71	Facility		$1,258.93	$1,513.56	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $6,606.93	Professional		$676.08	$794.33	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $3,630.78	Professional		$1,905.46	$3,090.30	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,548.82	Professional		$562.34	$794.33	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96