Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $4,365.16	Facility		$891.25	$891.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,819.70	Professional		$831.76	$891.25	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,630.27	Professional		$1,548.82	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,344.23	Facility		$1,174.90	$1,513.56	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $6,760.83	Professional		$851.14	$1,479.11	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,041.74	Professional		$1,737.80	$2,041.74	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,778.28	Professional		$1,023.29	$1,513.56	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,454.71	Professional		$954.99	$1,621.81	$2,454.71
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