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 $870.96 / $1,023.29 / $1,905.46	Professional		$870.96	$1,023.29	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,691.53	Professional		$1,548.82	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,570.40	Facility		$794.33	$1,318.26	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $7,762.47	Professional		$891.25	$1,513.56	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,344.23	Professional		$2,137.96	$2,238.72	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,905.46	Professional		$1,122.02	$1,584.89	$1,905.46
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 $933.25 / $1,513.56 / $2,570.40	Professional		$933.25	$1,513.56	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,290.87	Professional		$1,905.46	$2,290.87	$2,290.87