Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.51 / $602.71 / $602.71	Facility		$201.51	$602.71	$602.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.52 / $490.28 / $915.16	Professional		$169.52	$490.28	$915.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.04 / $566.79 / $1,593.26	Professional		$419.04	$566.79	$1,593.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.49 / $542.75 / $1,154.05	Facility		$286.49	$542.75	$1,154.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.30 / $1,018.60 / $4,557.05	Professional		$429.30	$1,018.60	$4,557.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $431.74 / $716.63 / $1,392.10	Facility		$431.74	$716.63	$1,392.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $662.79 / $1,285.67	Professional		$422.00	$662.79	$1,285.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $305.30 / $677.81 / $1,075.15	Professional		$305.30	$677.81	$1,075.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.57 / $858.19 / $1,334.96	Professional		$420.57	$858.19	$1,334.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $406.20 / $497.00 / $1,305.00	Professional		$406.20	$497.00	$1,305.00