Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,398.83 / $4,365.16	Facility		$467.74	$2,398.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,905.46 / $3,715.35	Professional		$467.74	$1,905.46	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,715.35 / $6,165.95	Professional		$1,047.13	$3,715.35	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,318.26 / $4,466.84	Facility		$389.05	$1,318.26	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $7,762.47	Professional		$1,819.70	$3,311.31	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $5,623.41	Professional		$1,023.29	$1,023.29	$5,623.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,570.40 / $3,890.45	Professional		$707.95	$2,570.40	$3,890.45
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 $457.09 / $2,041.74 / $5,754.40	Professional		$457.09	$2,041.74	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $4,677.35	Professional		$831.76	$1,023.29	$4,677.35