Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.60 / $3,148.06 / $17,605.79	Facility		$441.60	$3,148.06	$17,605.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.53 / $1,151.66 / $3,245.24	Professional		$407.53	$1,151.66	$3,245.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.76 / $4,406.03 / $7,575.77	Professional		$903.76	$4,406.03	$7,575.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.77 / $2,507.03 / $7,614.49	Facility		$582.77	$2,507.03	$7,614.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,381.39 / $9,163.51 / $19,771.20	Professional		$4,381.39	$9,163.51	$19,771.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.91 / $5,637.51 / $8,769.45	Facility		$1,032.91	$5,637.51	$8,769.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $937.40 / $5,441.29 / $8,077.72	Professional		$937.40	$5,441.29	$8,077.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $708.27 / $4,218.25 / $6,753.03	Professional		$708.27	$4,218.25	$6,753.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,307.73 / $1,307.73 / $1,307.73	Professional	80	$1,307.73	$1,307.73	$1,307.73
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,179.62 / $5,640.54 / $9,573.82	Professional		$3,179.62	$5,640.54	$9,573.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $859.40 / $1,051.50 / $6,323.80	Professional		$859.40	$1,051.50	$6,323.80