Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $870.96	Professional		$630.96	$831.76	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,995.26	Professional		$1,548.82	$1,621.81	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,905.46	Facility		$812.83	$1,047.13	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $5,248.07	Professional		$588.84	$1,000.00	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,445.44	Professional		$676.08	$1,202.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,202.26 / $1,862.09	Professional		$588.84	$1,202.26	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,819.70	Professional		$1,513.56	$1,778.28	$1,819.70