Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $4,365.16	Facility		$933.25	$933.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,230.27	Professional		$870.96	$977.24	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,754.23	Professional		$2,137.96	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,570.40	Facility		$1,148.15	$1,445.44	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $9,120.11	Professional		$891.25	$1,659.59	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,238.72	Professional		$2,089.30	$2,137.96	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $1,995.26	Professional		$1,148.15	$1,737.80	$1,995.26
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 $1,023.29 / $1,862.09 / $2,570.40	Professional		$1,023.29	$1,862.09	$2,570.40
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