Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,365.16 / $4,897.79	Facility		$891.25	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,819.70	Professional		$812.83	$891.25	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,570.40	Professional		$1,548.82	$2,041.74	$2,570.40
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 $831.76 / $1,479.11 / $7,244.36	Professional		$831.76	$1,479.11	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $1,995.26	Professional		$1,862.09	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,949.84	Professional		$1,862.09	$1,862.09	$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 $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 $954.99 / $1,584.89 / $2,454.71	Professional		$954.99	$1,584.89	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,137.96	Professional		$1,737.80	$2,089.30	$2,137.96