Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,548.82	Professional		$691.83	$758.58	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,187.76	Professional		$1,318.26	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,137.96	Facility		$1,000.00	$1,258.93	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $7,244.36	Professional		$707.95	$1,318.26	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,698.24	Professional		$1,548.82	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Professional		$1,548.82	$1,548.82	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,479.11	Professional		$912.01	$1,288.25	$1,479.11
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 $851.14 / $1,318.26 / $2,290.87	Professional		$851.14	$1,318.26	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,778.28	Professional		$1,479.11	$1,737.80	$1,778.28