Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,548.13 / $4,365.16	Facility		$933.25	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,905.46	Professional		$831.76	$933.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,691.53	Professional		$1,548.82	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,290.87	Facility		$1,174.90	$1,548.82	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $6,760.83	Professional		$831.76	$1,412.54	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $1,949.84	Professional		$1,548.82	$1,949.84	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,905.46	Professional		$1,548.82	$1,548.82	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $1,819.70	Professional		$891.25	$1,479.11	$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 $933.25 / $1,584.89 / $2,511.89	Professional		$933.25	$1,584.89	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Professional		$1,778.28	$2,089.30	$2,187.76