Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,290.87 / $4,365.16	Facility		$562.34	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $912.01	Professional		$549.54	$602.56	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,698.24	Professional		$1,318.26	$1,348.96	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,621.81	Facility		$724.44	$891.25	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,071.52 / $4,466.84	Professional		$549.54	$1,071.52	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,412.54	Professional		$1,258.93	$1,318.26	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,148.15	Professional		$812.83	$1,023.29	$1,148.15
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 $660.69 / $1,148.15 / $1,698.24	Professional		$660.69	$1,148.15	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,412.54	Professional		$1,148.15	$1,348.96	$1,412.54