Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.23 / $791.55 / $791.55	Facility		$489.23	$791.55	$791.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.14 / $638.92 / $1,183.64	Professional		$398.14	$638.92	$1,183.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.35 / $1,328.37 / $2,118.17	Professional		$816.35	$1,328.37	$2,118.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.92 / $908.01 / $1,491.88	Facility		$571.92	$908.01	$1,491.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $637.79 / $1,387.46 / $5,506.44	Professional		$637.79	$1,387.46	$5,506.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $908.01 / $1,484.63 / $8,779.34	Facility		$908.01	$1,484.63	$8,779.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $723.15 / $1,133.43 / $1,706.83	Professional		$723.15	$1,133.43	$1,706.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $653.03 / $947.80 / $1,387.60	Professional		$653.03	$947.80	$1,387.60
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 $637.79 / $1,387.46 / $2,018.46	Professional		$637.79	$1,387.46	$2,018.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $868.90 / $1,063.20 / $1,684.30	Professional		$868.90	$1,063.20	$1,684.30