Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.37 / $622.16 / $622.16	Facility		$503.37	$622.16	$622.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.89 / $512.54 / $1,311.78	Professional		$415.89	$512.54	$1,311.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.19 / $1,281.59 / $1,733.50	Professional		$987.19	$1,281.59	$1,733.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.47 / $831.78 / $1,382.87	Facility		$644.47	$831.78	$1,382.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $1,311.16 / $4,385.92	Professional		$558.45	$1,311.16	$4,385.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $641.64 / $1,089.00 / $1,541.41	Facility		$641.64	$1,089.00	$1,541.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $935.25 / $1,186.61 / $1,541.41	Professional		$935.25	$1,186.61	$1,541.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $603.19 / $934.77 / $1,145.66	Professional		$603.19	$934.77	$1,145.66
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 $513.16 / $1,054.82 / $1,640.83	Professional		$513.16	$1,054.82	$1,640.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $927.30 / $1,134.59 / $1,390.60	Professional		$927.30	$1,134.59	$1,390.60