Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $4,365.16	Facility		$831.76	$831.76	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $977.24	Professional		$707.95	$912.01	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,187.76	Professional		$1,737.80	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,089.30	Facility		$1,023.29	$1,288.25	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,412.54 / $5,888.44	Professional		$741.31	$1,412.54	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,548.82	Professional		$1,047.13	$1,445.44	$1,548.82
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 $954.99 / $1,584.89 / $2,187.76	Professional		$954.99	$1,584.89	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Professional		$1,621.81	$1,905.46	$1,995.26