Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,365.16	Facility		$870.96	$870.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,548.82	Professional		$794.33	$954.99	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,398.83	Professional		$1,698.24	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $2,137.96	Facility		$616.60	$1,096.48	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $7,585.78	Professional		$676.08	$1,122.02	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,548.82	Professional		$812.83	$1,288.25	$1,548.82
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 $758.58 / $1,380.38 / $2,187.76	Professional		$758.58	$1,380.38	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Professional		$1,513.56	$1,778.28	$1,862.09