Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $4,365.16	Facility		$707.95	$851.14	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,318.26	Professional		$630.96	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,511.89	Professional		$1,513.56	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,041.74	Facility		$812.83	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,778.28 / $6,606.93	Professional		$794.33	$1,778.28	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $2,041.74	Professional		$1,584.89	$1,737.80	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,862.09	Professional		$1,548.82	$1,548.82	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,698.24	Professional		$1,023.29	$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 $812.83 / $1,479.11 / $2,398.83	Professional		$812.83	$1,479.11	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,862.09	Professional		$1,288.25	$1,548.82	$1,862.09