Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.01 / $591.65 / $591.65	Facility		$555.01	$591.65	$591.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $591.65 / $1,265.26	Professional		$469.04	$591.65	$1,265.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.84 / $1,353.12 / $1,691.62	Professional		$983.84	$1,353.12	$1,691.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.12 / $909.42 / $1,394.69	Facility		$717.12	$909.42	$1,394.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.75 / $1,286.23 / $4,366.64	Professional		$582.75	$1,286.23	$4,366.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $842.12 / $1,363.42 / $1,969.98	Facility		$842.12	$1,363.42	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $917.00 / $1,215.29 / $1,522.16	Professional		$917.00	$1,215.29	$1,522.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $693.80 / $943.99 / $1,167.65	Professional		$693.80	$943.99	$1,167.65
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 $517.52 / $1,099.02 / $1,583.57	Professional		$517.52	$1,099.02	$1,583.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,092.30 / $1,336.40 / $1,417.30	Professional		$1,092.30	$1,336.40	$1,417.30