Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $4,365.16	Facility		$977.24	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,778.28	Professional		$891.25	$1,000.00	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,884.03	Professional		$1,698.24	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Facility		$1,288.25	$1,659.59	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $7,413.10	Professional		$933.25	$1,659.59	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,290.87	Professional		$2,089.30	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,238.72	Professional		$2,089.30	$2,089.30	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $1,995.26	Professional		$1,174.90	$1,698.24	$1,995.26
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 $1,071.52 / $1,778.28 / $2,754.23	Professional		$1,071.52	$1,778.28	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,398.83	Professional		$1,949.84	$2,290.87	$2,398.83