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 / $870.96 / $1,000.00	Professional		$676.08	$870.96	$1,000.00
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 $1,047.13 / $1,230.27 / $1,995.26	Facility		$1,047.13	$1,230.27	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,513.56 / $7,413.10	Professional		$776.25	$1,513.56	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,949.84	Professional		$1,698.24	$1,698.24	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,584.89	Professional		$1,023.29	$1,412.54	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,344.23	Professional		$1,023.29	$1,548.82	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,905.46	Professional		$1,548.82	$1,819.70	$1,905.46