Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $4,365.16	Facility		$562.34	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $794.33	Professional		$478.63	$575.44	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,513.56	Professional		$1,122.02	$1,202.26	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,288.25	Facility		$645.65	$794.33	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $6,760.83	Professional		$457.09	$891.25	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,122.02	Professional		$1,000.00	$1,122.02	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,000.00	Professional		$562.34	$851.14	$1,000.00
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 $524.81 / $954.99 / $1,380.38	Professional		$524.81	$954.99	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,174.90	Professional		$954.99	$1,122.02	$1,174.90