Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,548.13 / $4,365.16	Facility		$977.24	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,905.46	Professional		$870.96	$977.24	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $2,818.38	Professional		$1,995.26	$2,238.72	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,398.83	Facility		$1,174.90	$1,584.89	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $7,079.46	Professional		$851.14	$1,548.82	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,137.96	Professional		$1,905.46	$2,089.30	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Professional		$1,905.46	$1,905.46	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,905.46	Professional		$1,000.00	$1,548.82	$1,905.46
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 $1,000.00 / $1,698.24 / $2,630.27	Professional		$1,000.00	$1,698.24	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Professional		$1,862.09	$2,187.76	$2,290.87