Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $485.96 / $485.96	Facility		$296.57	$485.96	$485.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $421.17 / $552.95	Professional		$260.35	$421.17	$552.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.08 / $874.54 / $1,412.12	Professional		$680.08	$874.54	$1,412.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.29 / $696.27 / $1,226.71	Facility		$404.29	$696.27	$1,226.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.40 / $1,158.59 / $3,659.12	Professional		$433.40	$1,158.59	$3,659.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $574.51 / $765.77 / $1,236.16	Facility		$574.51	$765.77	$1,236.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $864.15 / $1,349.92	Professional		$666.00	$864.15	$1,349.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $464.94 / $652.29 / $972.29	Professional		$464.94	$652.29	$972.29
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 $509.78 / $926.88 / $1,353.35	Professional		$509.78	$926.88	$1,353.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $571.50 / $699.30 / $1,090.30	Professional		$571.50	$699.30	$1,090.30