Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,365.16 / $4,897.79	Facility		$912.01	$4,365.16	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,148.15	Professional		$912.01	$1,047.13	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,884.03	Professional		$2,187.76	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,818.38	Facility		$1,202.26	$1,548.82	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $8,912.51	Professional		$933.25	$1,819.70	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,398.83	Professional		$2,089.30	$2,187.76	$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 $1,348.96 / $1,698.24 / $1,949.84	Professional		$1,348.96	$1,698.24	$1,949.84
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 $1,148.15 / $1,995.26 / $2,818.38	Professional		$1,148.15	$1,995.26	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,344.23	Professional		$1,905.46	$2,238.72	$2,344.23