Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $4,365.16	Facility		$977.24	$977.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,621.81	Professional		$977.24	$1,122.02	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $3,090.30	Professional		$2,398.83	$2,511.89	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,019.95	Facility		$1,318.26	$1,548.82	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $8,128.31	Professional		$1,023.29	$1,949.84	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,570.40	Professional		$2,290.87	$2,398.83	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,137.96	Professional		$1,479.11	$1,862.09	$2,137.96
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 $1,230.27 / $2,089.30 / $3,019.95	Professional		$1,230.27	$2,089.30	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $2,511.89	Professional		$2,089.30	$2,454.71	$2,511.89