Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $658.13 / $658.13	Facility		$127.56	$658.13	$658.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $550.66 / $1,047.84	Professional		$127.56	$550.66	$1,047.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $371.05 / $1,826.02	Professional		$290.39	$371.05	$1,826.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $787.44 / $1,656.66	Facility		$178.64	$787.44	$1,656.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.58 / $1,497.91 / $4,683.60	Professional		$549.58	$1,497.91	$4,683.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.09 / $910.02 / $1,643.62	Facility		$331.09	$910.02	$1,643.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $1,265.30 / $1,751.05	Professional		$290.39	$1,265.30	$1,751.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $219.41 / $895.15 / $1,279.92	Professional		$219.41	$895.15	$1,279.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.26 / $1,045.05 / $1,754.82	Professional		$278.26	$1,045.05	$1,754.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $289.39 / $1,346.30	Professional		$236.60	$289.39	$1,346.30