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 $891.25 / $1,047.13 / $2,137.96	Professional		$891.25	$1,047.13	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,754.23	Professional		$1,548.82	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $2,754.23	Facility		$812.83	$1,445.44	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $7,244.36	Professional		$977.24	$1,621.81	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,398.83	Professional		$2,187.76	$2,238.72	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,949.84	Professional		$1,202.26	$1,621.81	$1,949.84
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 $977.24 / $1,621.81 / $2,570.40	Professional		$977.24	$1,621.81	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,344.23	Professional		$1,949.84	$2,344.23	$2,344.23