Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.49 / $689.07 / $689.07	Facility		$483.49	$689.07	$689.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.49 / $689.07 / $1,078.64	Professional		$483.49	$689.07	$1,078.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.07 / $1,383.88 / $1,986.71	Professional		$1,006.07	$1,383.88	$1,986.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $688.30 / $983.36 / $1,594.32	Facility		$688.30	$983.36	$1,594.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $1,671.60 / $5,095.68	Professional		$756.00	$1,671.60	$5,095.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.07 / $1,245.93 / $1,780.72	Facility		$236.07	$1,245.93	$1,780.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,062.48 / $1,289.85 / $1,780.72	Professional		$1,062.48	$1,289.85	$1,780.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $709.46 / $1,000.77 / $1,342.32	Professional		$709.46	$1,000.77	$1,342.32
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.77 / $1,322.28 / $1,973.80	Professional		$806.77	$1,322.28	$1,973.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $944.00 / $1,155.00 / $1,629.30	Professional		$944.00	$1,155.00	$1,629.30