Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $4,365.16	Facility		$660.69	$660.69	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $776.25	Professional		$575.44	$724.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,778.28	Professional		$1,412.54	$1,412.54	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,737.80	Facility		$831.76	$1,047.13	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $5,623.41	Professional		$575.44	$1,122.02	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Professional		$1,412.54	$1,412.54	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,258.93	Professional		$831.76	$1,122.02	$1,258.93
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 $691.83 / $1,258.93 / $1,737.80	Professional		$691.83	$1,258.93	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,584.89	Professional		$1,288.25	$1,513.56	$1,584.89