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 $676.08 / $758.58 / $954.99	Professional		$676.08	$758.58	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,344.23	Professional		$1,819.70	$1,862.09	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,137.96	Facility		$1,000.00	$1,258.93	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $7,943.28	Professional		$758.58	$1,479.11	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,862.09	Professional		$1,698.24	$1,819.70	$1,862.09
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 $977.24 / $1,380.38 / $1,621.81	Professional		$977.24	$1,380.38	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $2,238.72	Professional		$870.96	$1,513.56	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,905.46	Professional		$1,584.89	$1,862.09	$1,905.46