Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.33 / $1,698.23 / $1,698.23	Facility		$365.33	$1,698.23	$1,698.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $1,041.22 / $2,716.76	Professional		$405.05	$1,041.22	$2,716.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.92 / $2,745.91 / $4,721.35	Professional		$870.92	$2,745.91	$4,721.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $474.63 / $1,549.95 / $2,870.01	Facility		$474.63	$1,549.95	$2,870.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,071.07 / $4,160.07 / $12,238.56	Professional		$2,071.07	$4,160.07	$12,238.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $948.48 / $2,465.71 / $4,634.70	Facility		$948.48	$2,465.71	$4,634.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $841.34 / $3,076.57 / $4,634.70	Professional		$841.34	$3,076.57	$4,634.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $557.54 / $1,703.51 / $3,101.89	Professional		$557.54	$1,703.51	$3,101.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,401.19 / $4,632.58 / $5,130.27	Professional		$2,401.19	$4,632.58	$5,130.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $907.70 / $3,765.00	Professional		$741.90	$907.70	$3,765.00