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 $758.58 / $870.96 / $1,584.89	Professional		$758.58	$870.96	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,630.27	Professional		$1,862.09	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,290.87	Facility		$1,023.29	$1,288.25	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $6,606.93	Professional		$794.33	$1,584.89	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $1,995.26	Professional		$1,698.24	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $1,778.28	Professional		$933.25	$1,513.56	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,454.71	Professional		$794.33	$1,548.82	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,995.26	Professional		$1,621.81	$1,621.81	$1,995.26