Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.67 / $427.67 / $427.67	Facility		$427.67	$427.67	$427.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.44 / $427.67 / $1,023.65	Professional		$361.44	$427.67	$1,023.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.12 / $977.77 / $1,222.21	Professional		$751.12	$977.77	$1,222.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $702.76 / $1,077.78	Facility		$532.91	$702.76	$1,077.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.27 / $843.28 / $4,616.50	Professional		$403.27	$843.28	$4,616.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $788.47 / $1,111.98 / $3,711.03	Facility		$788.47	$1,111.98	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $617.24 / $856.04 / $1,131.09	Professional		$617.24	$856.04	$1,131.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $508.19 / $703.75 / $848.09	Professional		$508.19	$703.75	$848.09
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 $385.96 / $803.12 / $1,137.16	Professional		$385.96	$803.12	$1,137.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $841.30 / $1,029.40 / $1,029.40	Professional		$841.30	$1,029.40	$1,029.40