Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $4,365.16	Facility		$851.14	$851.14	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,737.80	Professional		$794.33	$851.14	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,511.89	Professional		$1,513.56	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,238.72	Facility		$1,047.13	$1,445.44	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $6,760.83	Professional		$758.58	$1,412.54	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $1,949.84	Professional		$1,778.28	$1,949.84	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,698.24	Professional		$954.99	$1,445.44	$1,698.24
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 $912.01 / $1,548.82 / $2,344.23	Professional		$912.01	$1,548.82	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Professional		$1,698.24	$1,995.26	$2,089.30