Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $4,365.16	Facility		$933.25	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,698.24	Professional		$851.14	$954.99	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,754.23	Professional		$1,659.59	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,570.40	Facility		$1,148.15	$1,584.89	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $7,079.46	Professional		$851.14	$1,584.89	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,137.96	Professional		$1,862.09	$1,862.09	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $1,905.46	Professional		$1,047.13	$1,621.81	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,630.27	Professional		$1,047.13	$1,698.24	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Professional		$1,862.09	$2,187.76	$2,290.87