Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $4,365.16	Facility		$812.83	$812.83	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,288.25	Professional		$812.83	$933.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,570.40	Professional		$1,949.84	$2,041.74	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,398.83	Facility		$1,071.52	$1,258.93	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,621.81 / $6,760.83	Professional		$831.76	$1,621.81	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,089.30	Professional		$1,862.09	$1,949.84	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,737.80	Professional		$1,096.48	$1,513.56	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $2,511.89	Professional		$977.24	$1,698.24	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,089.30	Professional		$1,698.24	$1,995.26	$2,089.30