Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $4,897.79	Facility		$891.25	$1,659.59	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $3,388.44	Professional		$831.76	$1,174.90	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,570.40	Professional		$1,949.84	$2,089.30	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,454.71	Facility		$1,071.52	$1,513.56	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $7,762.47	Professional		$831.76	$1,584.89	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $1,995.26	Professional		$1,819.70	$1,949.84	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,737.80	Professional		$1,023.29	$1,513.56	$1,737.80
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 $954.99 / $1,659.59 / $2,454.71	Professional		$954.99	$1,659.59	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,041.74	Professional		$1,659.59	$1,995.26	$2,041.74