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 $912.01 / $1,000.00 / $2,041.74	Professional		$912.01	$1,000.00	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,754.23	Professional		$1,905.46	$2,238.72	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,691.53	Facility		$1,288.25	$1,698.24	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $11,481.54	Professional		$912.01	$1,659.59	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,290.87	Professional		$2,137.96	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Professional		$2,137.96	$2,137.96	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,995.26	Professional		$1,288.25	$1,698.24	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,754.23	Professional		$1,071.52	$1,778.28	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,398.83	Professional		$1,949.84	$2,344.23	$2,398.83