Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,365.16	Facility		$870.96	$870.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,071.52	Professional		$758.58	$891.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,344.23	Professional		$1,778.28	$1,905.46	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,041.74	Facility		$1,000.00	$1,174.90	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $6,025.60	Professional		$758.58	$1,412.54	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,778.28	Professional		$1,584.89	$1,778.28	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,584.89	Professional		$891.25	$1,318.26	$1,584.89
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 $831.76 / $1,479.11 / $2,187.76	Professional		$831.76	$1,479.11	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,862.09	Professional		$1,513.56	$1,778.28	$1,862.09