Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,174.90	Professional		$724.44	$794.33	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,454.71	Professional		$1,949.84	$1,949.84	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,290.87	Facility		$1,023.29	$1,288.25	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $6,456.54	Professional		$794.33	$1,513.56	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $1,995.26	Professional		$1,819.70	$1,949.84	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,778.28	Professional		$1,023.29	$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 $912.01 / $1,584.89 / $2,344.23	Professional		$912.01	$1,584.89	$2,344.23
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