Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.93 / $1,616.95 / $1,616.95	Facility		$416.93	$1,616.95	$1,616.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.87 / $1,450.55 / $1,616.95	Professional		$387.87	$1,450.55	$1,616.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.06 / $2,681.90 / $4,611.30	Professional		$1,019.06	$2,681.90	$4,611.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.86 / $2,083.71 / $4,500.00	Facility		$602.86	$2,083.71	$4,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,267.52 / $4,926.51 / $12,212.32	Professional		$2,267.52	$4,926.51	$12,212.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,129.88 / $4,042.65 / $5,344.78	Facility		$1,129.88	$4,042.65	$5,344.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,002.17 / $3,064.62 / $4,661.64	Professional		$1,002.17	$3,064.62	$4,661.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $2,296.19 / $3,055.91	Professional		$757.21	$2,296.19	$3,055.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,151.14 / $3,474.91 / $5,147.10	Professional		$2,151.14	$3,474.91	$5,147.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $868.10 / $1,062.20 / $3,641.60	Professional		$868.10	$1,062.20	$3,641.60