Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $4,365.16	Facility		$870.96	$1,047.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,000.00	Professional		$707.95	$933.25	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,398.83	Professional		$1,819.70	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,137.96	Facility		$1,000.00	$1,202.26	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,479.11 / $6,165.95	Professional		$741.31	$1,479.11	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $1,862.09	Professional		$1,548.82	$1,737.80	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,621.81	Professional		$851.14	$1,380.38	$1,621.81
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 $870.96 / $1,548.82 / $2,238.72	Professional		$870.96	$1,548.82	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Professional		$1,548.82	$1,819.70	$1,905.46