Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $4,365.16	Facility		$831.76	$1,023.29	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,621.81	Professional		$691.83	$891.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $2,818.38	Professional		$1,318.26	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $1,819.70	Facility		$831.76	$1,348.96	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $7,079.46	Professional		$741.31	$1,513.56	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,905.46	Professional		$1,479.11	$1,548.82	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,584.89	Professional		$1,230.27	$1,318.26	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,819.70	Professional		$794.33	$1,412.54	$1,819.70
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 $741.31 / $1,318.26 / $2,238.72	Professional		$741.31	$1,318.26	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,238.72	Professional		$1,479.11	$1,819.70	$2,238.72