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 $954.99 / $1,047.13 / $1,513.56	Professional		$954.99	$1,047.13	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $2,951.21	Professional		$2,238.72	$2,344.23	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,691.53	Facility		$1,258.93	$1,621.81	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $7,585.78	Professional		$954.99	$1,862.09	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,398.83	Professional		$2,137.96	$2,238.72	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,995.26	Professional		$1,380.38	$1,737.80	$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 $1,122.02 / $1,949.84 / $2,884.03	Professional		$1,122.02	$1,949.84	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,454.71	Professional		$1,995.26	$2,344.23	$2,454.71