Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.39 / $598.38 / $598.38	Facility		$398.39	$598.38	$598.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.94 / $513.74 / $598.38	Professional		$347.94	$513.74	$598.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.42 / $1,174.49 / $1,716.94	Professional		$896.42	$1,174.49	$1,716.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $821.00 / $1,497.08	Facility		$499.82	$821.00	$1,497.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.89 / $1,348.62 / $4,470.24	Professional		$541.89	$1,348.62	$4,470.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $375.18 / $1,021.74 / $1,494.64	Facility		$375.18	$1,021.74	$1,494.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $793.38 / $1,114.89 / $1,647.76	Professional		$793.38	$1,114.89	$1,647.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.52 / $870.82 / $1,172.83	Professional		$612.52	$870.82	$1,172.83
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.89 / $1,054.11 / $1,688.20	Professional		$541.89	$1,054.11	$1,688.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $921.30 / $1,315.20	Professional		$753.00	$921.30	$1,315.20