Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $4,365.16	Facility		$831.76	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,445.44	Professional		$794.33	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $2,511.89	Professional		$1,905.46	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,344.23	Facility		$1,071.52	$1,258.93	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $6,456.54	Professional		$812.83	$1,548.82	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,041.74	Professional		$1,819.70	$1,905.46	$2,041.74
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 $1,148.15 / $1,479.11 / $1,698.24	Professional		$1,148.15	$1,479.11	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $2,454.71	Professional		$954.99	$1,659.59	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,041.74	Professional		$1,698.24	$1,995.26	$2,041.74