Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,365.16	Facility		$870.96	$870.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,318.26	Professional		$776.25	$870.96	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,691.53	Professional		$2,089.30	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,398.83	Facility		$1,148.15	$1,348.96	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $8,317.64	Professional		$870.96	$1,698.24	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,187.76	Professional		$1,949.84	$2,089.30	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,862.09	Professional		$1,122.02	$1,584.89	$1,862.09
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 $1,000.00 / $1,737.80 / $2,570.40	Professional		$1,000.00	$1,737.80	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Professional		$1,819.70	$2,137.96	$2,238.72