Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,548.13 / $4,365.16	Facility		$891.25	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,659.59	Professional		$776.25	$891.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,691.53	Professional		$1,905.46	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,398.83	Facility		$1,122.02	$1,318.26	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $6,918.31	Professional		$812.83	$1,621.81	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,041.74	Professional		$1,862.09	$2,041.74	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,819.70	Professional		$1,000.00	$1,548.82	$1,819.70
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 $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 $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74