Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.35 / $527.90 / $527.90	Facility		$333.35	$527.90	$527.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $438.51 / $915.35	Professional		$281.20	$438.51	$915.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.39 / $955.37 / $1,479.32	Professional		$620.39	$955.37	$1,479.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.96 / $732.63 / $1,201.52	Facility		$455.96	$732.63	$1,201.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.80 / $1,163.39 / $3,776.00	Professional		$496.80	$1,163.39	$3,776.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $732.63 / $1,078.19 / $1,584.29	Facility		$732.63	$1,078.19	$1,584.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $620.39 / $868.82 / $1,239.57	Professional		$620.39	$868.82	$1,239.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.05 / $655.96 / $994.93	Professional		$489.05	$655.96	$994.93
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 $534.79 / $934.25 / $1,453.28	Professional		$534.79	$934.25	$1,453.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $650.70 / $796.20 / $1,207.59	Professional		$650.70	$796.20	$1,207.59