Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $4,365.16	Facility		$416.87	$1,621.81	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,445.44 / $2,041.74	Professional		$389.05	$1,445.44	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $4,677.35	Professional		$1,047.13	$3,388.44	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,089.30 / $4,466.84	Facility		$575.44	$2,089.30	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $12,302.69	Professional		$1,000.00	$3,467.37	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,168.69	Professional		$1,000.00	$1,000.00	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $3,715.35	Professional		$933.25	$933.25	$3,715.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,344.23 / $3,090.30	Professional		$758.58	$2,344.23	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,230.27 / $4,897.79	Professional		$549.54	$1,230.27	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $3,630.78	Professional		$870.96	$1,071.52	$3,630.78