Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $4,365.16	Facility		$977.24	$977.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,380.38	Professional		$870.96	$1,071.52	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,691.53	Professional		$2,137.96	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,630.27	Facility		$1,148.15	$1,412.54	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $7,244.36	Professional		$870.96	$1,698.24	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,187.76	Professional		$2,041.74	$2,137.96	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $1,905.46	Professional		$1,174.90	$1,659.59	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,630.27	Professional		$1,023.29	$1,819.70	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Professional		$1,819.70	$2,137.96	$2,238.72