Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.62 / $1,946.97 / $1,946.97	Facility		$404.62	$1,946.97	$1,946.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $1,042.19 / $2,975.13	Professional		$404.06	$1,042.19	$2,975.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.64 / $3,524.72 / $4,671.68	Professional		$833.64	$3,524.72	$4,671.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.05 / $2,265.13 / $5,293.59	Facility		$533.05	$2,265.13	$5,293.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,174.81 / $4,151.91 / $15,577.70	Professional		$2,174.81	$4,151.91	$15,577.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $938.47 / $4,042.08 / $5,421.75	Facility		$938.47	$4,042.08	$5,421.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $839.16 / $3,485.41 / $4,948.91	Professional		$839.16	$3,485.41	$4,948.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $634.03 / $2,402.80 / $3,412.74	Professional		$634.03	$2,402.80	$3,412.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,174.81 / $3,529.31 / $5,490.04	Professional		$2,174.81	$3,529.31	$5,490.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $769.30 / $941.30 / $3,909.70	Professional		$769.30	$941.30	$3,909.70