Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $6,456.54	Facility		$776.25	$933.25	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,995.26	Professional		$724.44	$912.01	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,754.23	Professional		$1,659.59	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,187.76	Facility		$851.14	$1,230.27	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $6,918.31	Professional		$812.83	$1,819.70	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,137.96	Professional		$1,737.80	$1,819.70	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,905.46	Professional		$1,659.59	$1,659.59	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $1,819.70	Professional		$1,047.13	$1,548.82	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,511.89	Professional		$831.76	$1,548.82	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,041.74	Professional		$1,412.54	$1,659.59	$2,041.74