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 $851.14 / $1,096.48 / $1,174.90	Professional		$851.14	$1,096.48	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,630.27	Professional		$2,089.30	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,511.89	Facility		$1,318.26	$1,659.59	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $8,317.64	Professional		$891.25	$1,698.24	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Professional		$2,137.96	$2,137.96	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,995.26	Professional		$1,318.26	$1,698.24	$1,995.26
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 $1,174.90 / $1,949.84 / $2,630.27	Professional		$1,174.90	$1,949.84	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83