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 / $954.99 / $1,380.38	Professional		$870.96	$954.99	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,691.53	Professional		$2,187.76	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,454.71	Facility		$1,148.15	$1,479.11	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $7,079.46	Professional		$870.96	$1,698.24	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,238.72	Professional		$1,949.84	$2,041.74	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,819.70	Professional		$1,258.93	$1,584.89	$1,819.70
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 $1,047.13 / $1,778.28 / $2,630.27	Professional		$1,047.13	$1,778.28	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Professional		$1,819.70	$2,137.96	$2,238.72