Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $4,365.16	Facility		$794.33	$794.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,258.93	Professional		$776.25	$831.76	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,290.87	Facility		$1,122.02	$1,318.26	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,513.56 / $10,964.78	Professional		$776.25	$1,513.56	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $1,949.84	Professional		$1,819.70	$1,905.46	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,659.59	Professional		$1,071.52	$1,479.11	$1,659.59
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 $912.01 / $1,584.89 / $2,344.23	Professional		$912.01	$1,584.89	$2,344.23
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