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 $776.25 / $1,000.00 / $1,047.13	Professional		$776.25	$1,000.00	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,344.23	Professional		$1,905.46	$1,905.46	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,398.83	Facility		$1,174.90	$1,412.54	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $6,309.57	Professional		$794.33	$1,513.56	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,995.26	Professional		$1,905.46	$1,905.46	$1,995.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,698.24	Professional		$1,096.48	$1,513.56	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,344.23	Professional		$977.24	$1,737.80	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,137.96	Professional		$1,778.28	$2,089.30	$2,137.96