Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $4,365.16	Facility		$954.99	$954.99	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,202.26	Professional		$954.99	$1,096.48	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $3,019.95	Professional		$2,290.87	$2,398.83	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,884.03	Facility		$1,258.93	$1,479.11	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $8,128.31	Professional		$977.24	$1,905.46	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,454.71	Professional		$2,137.96	$2,290.87	$2,454.71
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 $1,412.54 / $1,819.70 / $2,041.74	Professional		$1,412.54	$1,819.70	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $2,951.21	Professional		$1,148.15	$1,995.26	$2,951.21
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