Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.86 / $4,338.00 / $4,349.35	Facility		$795.86	$4,338.00	$4,349.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.86 / $3,374.21 / $6,496.14	Professional		$795.86	$3,374.21	$6,496.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.72 / $5,137.22 / $11,844.27	Professional		$1,676.72	$5,137.22	$11,844.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,132.79 / $2,385.01 / $9,133.58	Facility		$1,132.79	$2,385.01	$9,133.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,467.05 / $9,133.58 / $29,962.16	Professional		$3,467.05	$9,133.58	$29,962.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $6,219.93 / $10,998.07	Facility		$1,932.00	$6,219.93	$10,998.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,676.72 / $5,282.53 / $10,998.07	Professional		$1,676.72	$5,282.53	$10,998.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,324.71 / $5,064.16 / $7,749.22	Professional		$1,324.71	$5,064.16	$7,749.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,486.77 / $8,157.76 / $11,786.21	Professional		$4,486.77	$8,157.76	$11,786.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,546.00 / $1,891.50 / $9,405.90	Professional		$1,546.00	$1,891.50	$9,405.90