Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,089.30 / $4,897.79	Facility		$380.19	$2,089.30	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,659.59 / $2,238.72	Professional		$346.74	$1,659.59	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $5,128.61	Professional		$794.33	$1,000.00	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,137.96 / $5,011.87	Facility		$501.19	$2,137.96	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $13,182.57	Professional		$1,698.24	$3,548.13	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $4,265.80	Professional		$776.25	$870.96	$4,265.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,454.71 / $3,311.31	Professional		$588.84	$2,454.71	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $5,011.87	Professional		$398.11	$1,023.29	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $4,168.69	Professional		$724.44	$870.96	$4,168.69