Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,862.09 / $6,918.31	Facility		$758.58	$1,862.09	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,584.89 / $2,818.38	Professional		$691.83	$1,584.89	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,248.07	Professional		$1,584.89	$2,238.72	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $4,466.84	Facility		$1,071.52	$2,187.76	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,570.88 / $13,182.57	Professional		$1,862.09	$4,570.88	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $4,786.30	Professional		$1,698.24	$1,905.46	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $5,128.61	Professional		$1,621.81	$1,949.84	$5,128.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $3,890.45	Professional		$1,288.25	$2,570.40	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $5,495.41	Professional		$1,047.13	$2,238.72	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,073.80	Professional		$1,479.11	$1,819.70	$4,073.80