Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,365.16	Facility		$741.31	$741.31	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,659.59	Professional		$724.44	$851.14	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,290.87	Professional		$1,318.26	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $2,137.96	Facility		$660.69	$1,122.02	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $5,888.44	Professional		$870.96	$1,258.93	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,949.84	Professional		$1,819.70	$1,819.70	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,621.81	Professional		$1,023.29	$1,380.38	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,137.96	Professional		$870.96	$1,318.26	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $1,995.26	Professional		$1,621.81	$1,995.26	$1,995.26