Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.52 / $647.41 / $647.41	Facility		$362.52	$647.41	$647.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.87 / $536.41 / $1,164.03	Professional		$305.87	$536.41	$1,164.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.98 / $1,050.81 / $1,822.12	Professional		$767.98	$1,050.81	$1,822.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $507.73 / $838.08 / $1,581.31	Facility		$507.73	$838.08	$1,581.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $754.44 / $1,771.62 / $4,610.24	Professional		$754.44	$1,771.62	$4,610.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $888.84 / $1,367.08 / $6,855.77	Facility		$888.84	$1,367.08	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $767.98 / $1,196.77 / $1,669.38	Professional		$767.98	$1,196.77	$1,669.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $530.04 / $902.38 / $1,923.94	Professional		$530.04	$902.38	$1,923.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.66 / $1,213.54 / $2,109.08	Professional		$631.66	$1,213.54	$2,109.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.30 / $862.90 / $1,469.10	Professional		$705.30	$862.90	$1,469.10