Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $4,365.16	Facility		$676.08	$851.14	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,778.28	Professional		$645.65	$831.76	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,570.40	Professional		$1,479.11	$2,041.74	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,041.74	Facility		$794.33	$1,174.90	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,698.24 / $6,456.54	Professional		$758.58	$1,698.24	$6,456.54
Midlands 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
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,778.28	Professional		$1,479.11	$1,479.11	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,698.24	Professional		$1,047.13	$1,412.54	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $2,238.72	Professional		$776.25	$1,380.38	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,905.46	Professional		$1,258.93	$1,548.82	$1,905.46