Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.51 / $4,338.00 / $5,568.42	Facility		$688.51	$4,338.00	$5,568.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.17 / $4,955.21 / $5,568.42	Professional		$639.17	$4,955.21	$5,568.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.92 / $9,377.87 / $16,124.45	Professional		$1,717.92	$9,377.87	$16,124.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.20 / $2,106.54 / $15,996.48	Facility		$1,005.20	$2,106.54	$15,996.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,596.34 / $16,881.93 / $41,874.56	Professional		$8,596.34	$16,881.93	$41,874.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,893.01 / $11,332.99 / $16,679.20	Facility		$1,893.01	$11,332.99	$16,679.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,674.65 / $7,161.49 / $15,996.34	Professional		$1,674.65	$7,161.49	$15,996.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,261.42 / $7,862.94 / $11,631.27	Professional		$1,261.42	$7,862.94	$11,631.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,879.98 / $11,338.61 / $17,637.84	Professional		$7,879.98	$11,338.61	$17,637.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,450.70 / $1,774.90 / $12,575.60	Professional		$1,450.70	$1,774.90	$12,575.60