Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,548.13 / $4,365.16	Facility		$933.25	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,778.28	Professional		$891.25	$1,000.00	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,884.03	Professional		$2,041.74	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,818.38	Facility		$1,174.90	$1,412.54	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $7,585.78	Professional		$891.25	$1,778.28	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,290.87	Professional		$1,737.80	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $1,949.84	Professional		$977.24	$1,584.89	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $2,691.53	Professional		$912.01	$1,778.28	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Professional		$1,949.84	$1,949.84	$2,398.83