Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $4,365.16	Facility		$870.96	$3,548.13	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,548.82	Professional		$812.83	$870.96	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,511.89	Professional		$1,513.56	$2,041.74	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,290.87	Facility		$1,047.13	$1,445.44	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $6,456.54	Professional		$812.83	$1,445.44	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $1,995.26	Professional		$1,819.70	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Professional		$1,819.70	$1,819.70	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,737.80	Professional		$1,000.00	$1,479.11	$1,737.80
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 $933.25 / $1,584.89 / $2,398.83	Professional		$933.25	$1,584.89	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,089.30	Professional		$1,737.80	$2,041.74	$2,089.30