Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,365.16	Facility		$870.96	$870.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,000.00	Professional		$741.31	$933.25	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,290.87	Professional		$1,819.70	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,187.76	Facility		$1,148.15	$1,348.96	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $8,709.64	Professional		$741.31	$1,445.44	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,862.09	Professional		$1,819.70	$1,819.70	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,621.81	Professional		$1,071.52	$1,412.54	$1,621.81
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 $891.25 / $1,584.89 / $2,238.72	Professional		$891.25	$1,584.89	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,041.74	Professional		$1,659.59	$1,949.84	$2,041.74