Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.19 / $547.95 / $547.95	Facility		$403.19	$547.95	$547.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.10 / $515.21 / $849.33	Professional		$378.10	$515.21	$849.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.85 / $1,141.38 / $1,525.09	Professional		$826.85	$1,141.38	$1,525.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.11 / $770.64 / $1,249.44	Facility		$573.11	$770.64	$1,249.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.36 / $1,191.56 / $3,968.64	Professional		$562.36	$1,191.56	$3,968.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $734.11 / $990.22 / $1,380.74	Facility		$734.11	$990.22	$1,380.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $780.47 / $1,020.65 / $1,380.74	Professional		$780.47	$1,020.65	$1,380.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $569.48 / $791.16 / $1,040.22	Professional		$569.48	$791.16	$1,040.22
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 $562.36 / $949.16 / $1,476.47	Professional		$562.36	$949.16	$1,476.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $784.90 / $960.30 / $1,262.59	Professional		$784.90	$960.30	$1,262.59