Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $4,365.16	Facility		$977.24	$977.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,778.28	Professional		$851.14	$977.24	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,884.03	Professional		$2,089.30	$2,344.23	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,570.40	Facility		$1,202.26	$1,513.56	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $7,413.10	Professional		$891.25	$1,778.28	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,290.87	Professional		$2,089.30	$2,290.87	$2,290.87
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 $1,071.52 / $1,698.24 / $1,995.26	Professional		$1,071.52	$1,698.24	$1,995.26
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 $912.01 / $1,737.80 / $2,754.23	Professional		$912.01	$1,737.80	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,238.72	Professional		$1,819.70	$1,819.70	$2,238.72