Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.74 / $450.32 / $450.32	Facility		$306.74	$450.32	$450.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $406.25 / $766.26	Professional		$270.00	$406.25	$766.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.14 / $911.55 / $1,284.54	Professional		$729.14	$911.55	$1,284.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.74 / $659.62 / $1,178.59	Facility		$387.74	$659.62	$1,178.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.86 / $1,221.08 / $3,385.28	Professional		$539.86	$1,221.08	$3,385.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $681.65 / $1,004.26 / $2,596.73	Facility		$681.65	$1,004.26	$2,596.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $870.72 / $1,222.26	Professional		$696.00	$870.72	$1,222.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $456.43 / $658.82 / $883.67	Professional		$456.43	$658.82	$883.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.79 / $908.10 / $1,275.76	Professional		$602.79	$908.10	$1,275.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.10 / $719.60 / $990.90	Professional		$588.10	$719.60	$990.90