Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.75 / $655.10 / $655.10	Facility		$119.75	$655.10	$655.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $547.13 / $1,033.07	Professional		$119.75	$547.13	$1,033.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $1,309.08 / $1,800.69	Professional		$278.14	$1,309.08	$1,800.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.30 / $589.73 / $1,646.21	Facility		$149.30	$589.73	$1,646.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.67 / $1,865.52 / $4,647.04	Professional		$971.67	$1,865.52	$4,647.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $310.02 / $1,303.00 / $2,066.12	Facility		$310.02	$1,303.00	$2,066.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $1,328.22 / $1,865.52	Professional		$269.27	$1,328.22	$1,865.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $1,003.57 / $1,433.09	Professional		$203.46	$1,003.57	$1,433.09
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 $939.71 / $1,426.61 / $2,219.17	Professional		$939.71	$1,426.61	$2,219.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $268.39 / $1,323.90	Professional		$219.40	$268.39	$1,323.90