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 $724.44 / $933.25 / $977.24	Professional		$724.44	$933.25	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,187.76	Professional		$1,778.28	$1,778.28	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,137.96	Facility		$1,122.02	$1,348.96	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,412.54 / $10,232.93	Professional		$741.31	$1,412.54	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,819.70	Professional		$1,778.28	$1,778.28	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,584.89	Professional		$1,096.48	$1,412.54	$1,584.89
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 $912.01 / $1,621.81 / $2,187.76	Professional		$912.01	$1,621.81	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,995.26	Professional		$1,659.59	$1,949.84	$1,995.26