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 $794.33 / $977.24 / $1,230.27	Professional		$794.33	$977.24	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,454.71	Professional		$1,949.84	$1,949.84	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,344.23	Facility		$1,047.13	$1,230.27	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $6,456.54	Professional		$794.33	$1,548.82	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $1,995.26	Professional		$1,862.09	$1,949.84	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,737.80	Professional		$1,096.48	$1,513.56	$1,737.80
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 $933.25 / $1,659.59 / $2,398.83	Professional		$933.25	$1,659.59	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,041.74	Professional		$1,659.59	$1,949.84	$2,041.74