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 $812.83 / $1,000.00 / $1,258.93	Professional		$812.83	$1,000.00	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,511.89	Professional		$1,995.26	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,344.23	Facility		$1,071.52	$1,318.26	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,918.31	Professional		$812.83	$1,584.89	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $2,041.74	Professional		$1,905.46	$1,995.26	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,778.28	Professional		$1,096.48	$1,548.82	$1,778.28
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 $954.99 / $1,698.24 / $2,454.71	Professional		$954.99	$1,698.24	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Professional		$1,698.24	$1,995.26	$2,089.30