Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,995.26 / $1,995.26	Facility		$776.25	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,318.26	Professional		$776.25	$870.96	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,168.69	Professional		$2,454.71	$3,311.31	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $3,235.94	Facility		$1,659.59	$1,995.26	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $8,709.64	Professional		$575.44	$676.08	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $4,786.30	Professional		$2,511.89	$4,073.80	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,737.80	Professional		$575.44	$676.08	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80