Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $4,365.16	Facility		$933.25	$933.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,288.25	Professional		$831.76	$1,023.29	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,570.40	Professional		$2,041.74	$2,089.30	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,511.89	Facility		$1,096.48	$1,288.25	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $6,760.83	Professional		$851.14	$1,621.81	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,089.30	Professional		$1,949.84	$2,041.74	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $1,819.70	Professional		$1,122.02	$1,621.81	$1,819.70
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 $1,000.00 / $1,778.28 / $2,511.89	Professional		$1,000.00	$1,778.28	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96