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 / $1,148.15	Professional		$851.14	$1,096.48	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Professional		$2,089.30	$2,089.30	$2,570.40
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 $870.96 / $1,659.59 / $10,471.29	Professional		$870.96	$1,659.59	$10,471.29
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 $1,258.93 / $1,659.59 / $1,995.26	Professional		$1,258.93	$1,659.59	$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