Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.40 / $4,338.00 / $6,136.75	Facility		$494.40	$4,338.00	$6,136.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.40 / $4,900.50 / $7,316.10	Professional		$494.40	$4,900.50	$7,316.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.44 / $1,411.96 / $15,934.54	Professional		$1,027.44	$1,411.96	$15,934.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.11 / $7,039.57 / $15,573.78	Facility		$703.11	$7,039.57	$15,573.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,183.07 / $15,573.78 / $52,591.26	Professional		$6,183.07	$15,573.78	$52,591.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,178.28 / $8,461.12 / $16,136.52	Facility		$1,178.28	$8,461.12	$16,136.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,070.42 / $10,755.80 / $15,649.33	Professional		$1,070.42	$10,755.80	$15,649.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $838.60 / $8,456.94 / $12,103.55	Professional		$838.60	$8,456.94	$12,103.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,282.98 / $12,226.66 / $19,019.25	Professional		$7,282.98	$12,226.66	$19,019.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $978.70 / $1,197.40 / $12,638.60	Professional		$978.70	$1,197.40	$12,638.60