Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $4,365.16	Facility		$776.25	$776.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $912.01	Professional		$676.08	$776.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,041.74	Professional		$1,659.59	$1,659.59	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,995.26	Facility		$933.25	$1,096.48	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $5,495.41	Professional		$691.83	$1,348.96	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Professional		$1,659.59	$1,659.59	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,479.11	Professional		$977.24	$1,288.25	$1,479.11
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 $831.76 / $1,513.56 / $2,089.30	Professional		$831.76	$1,513.56	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Professional		$1,513.56	$1,778.28	$1,862.09