Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.98 / $507.98 / $507.98	Facility		$507.98	$507.98	$507.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.60 / $507.98 / $1,215.22	Professional		$428.60	$507.98	$1,215.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.57 / $1,159.30 / $1,449.13	Professional		$890.57	$1,159.30	$1,449.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.96 / $858.16 / $1,289.83	Facility		$652.96	$858.16	$1,289.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.12 / $983.05 / $4,332.49	Professional		$478.12	$983.05	$4,332.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $935.40 / $1,285.00 / $3,711.03	Facility		$935.40	$1,285.00	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.40 / $1,043.00 / $1,355.14	Professional		$720.40	$1,043.00	$1,355.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $594.30 / $842.38 / $1,006.58	Professional		$594.30	$842.38	$1,006.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.12 / $803.33 / $1,375.19	Professional		$441.12	$803.33	$1,375.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $998.60 / $1,221.80 / $1,221.80	Professional		$998.60	$1,221.80	$1,221.80