Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.30 / $483.66 / $483.66	Facility		$362.30	$483.66	$483.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $420.52 / $483.66	Professional		$318.00	$420.52	$483.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.28 / $1,078.08 / $1,416.99	Professional		$820.28	$1,078.08	$1,416.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $453.03 / $710.68 / $1,641.70	Facility		$453.03	$710.68	$1,641.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.80 / $1,458.99 / $3,633.20	Professional		$537.80	$1,458.99	$3,633.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $558.13 / $960.00 / $1,304.90	Facility		$558.13	$960.00	$1,304.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $783.48 / $1,005.42 / $1,305.48	Professional		$783.48	$1,005.42	$1,305.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $492.38 / $780.36 / $1,053.64	Professional		$492.38	$780.36	$1,053.64
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 $633.53 / $979.92 / $1,524.32	Professional		$633.53	$979.92	$1,524.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $667.00 / $816.10 / $1,062.70	Professional		$667.00	$816.10	$1,062.70