Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,513.56	Professional		$870.96	$1,000.00	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,754.23	Professional		$2,187.76	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,691.53	Facility		$1,148.15	$1,348.96	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $7,244.36	Professional		$891.25	$1,698.24	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,290.87	Professional		$2,089.30	$2,187.76	$2,290.87
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 $1,348.96 / $1,778.28 / $2,041.74	Professional		$1,348.96	$1,778.28	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	AS	$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,630.27	Professional		$1,047.13	$1,862.09	$2,630.27
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