Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $531.63 / $531.63	Facility		$495.00	$531.63	$531.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.51 / $495.00 / $1,262.57	Professional		$418.51	$495.00	$1,262.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.42 / $1,209.98 / $1,524.11	Professional		$886.42	$1,209.98	$1,524.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.36 / $813.36 / $1,237.64	Facility		$645.36	$813.36	$1,237.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.25 / $1,152.99 / $3,923.12	Professional		$524.25	$1,152.99	$3,923.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $1,088.01 / $1,364.60	Facility		$230.01	$1,088.01	$1,364.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,081.26 / $1,364.60	Professional		$812.00	$1,081.26	$1,364.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $580.44 / $847.09 / $1,048.61	Professional		$580.44	$847.09	$1,048.61
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 $465.10 / $911.95 / $1,418.59	Professional		$465.10	$911.95	$1,418.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $972.90 / $1,190.40 / $1,272.80	Professional		$972.90	$1,190.40	$1,272.80