Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.48 / $498.83 / $498.83	Facility		$461.48	$498.83	$498.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $432.68 / $775.24	Professional		$403.44	$432.68	$775.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.21 / $1,127.35 / $1,425.75	Professional		$829.21	$1,127.35	$1,425.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.72 / $762.33 / $1,151.08	Facility		$603.72	$762.33	$1,151.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.35 / $1,079.27 / $3,665.20	Professional		$496.35	$1,079.27	$3,665.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $1,024.02 / $1,273.51	Facility		$230.01	$1,024.02	$1,273.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $1,005.94 / $1,273.51	Professional		$769.00	$1,005.94	$1,273.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.53 / $787.91 / $978.11	Professional		$501.53	$787.91	$978.11
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 $512.61 / $997.96 / $1,324.46	Professional		$512.61	$997.96	$1,324.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $902.90 / $1,104.80 / $1,187.20	Professional		$902.90	$1,104.80	$1,187.20