Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $4,365.16	Facility		$977.24	$977.24	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $2,238.72	Professional		$870.96	$1,000.00	$2,238.72
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 $1,258.93 / $1,659.59 / $2,630.27	Facility		$1,258.93	$1,659.59	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $10,715.19	Professional		$912.01	$1,737.80	$10,715.19
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 / $2,290.87	Professional		$2,089.30	$2,089.30	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $1,949.84	Professional		$1,202.26	$1,698.24	$1,949.84
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 $1,122.02 / $1,778.28 / $2,818.38	Professional		$1,122.02	$1,778.28	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,344.23	Professional		$1,905.46	$2,238.72	$2,344.23