Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $6,918.31	Facility		$831.76	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,258.93	Professional		$741.31	$912.01	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,570.40	Professional		$1,995.26	$2,089.30	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,290.87	Facility		$1,096.48	$1,348.96	$2,290.87
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 / $1,995.26 / $2,089.30	Professional		$1,862.09	$1,995.26	$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 $1,071.52 / $1,513.56 / $1,778.28	Professional		$1,071.52	$1,513.56	$1,778.28
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 $977.24 / $1,659.59 / $2,454.71	Professional		$977.24	$1,659.59	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96