Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.69 / $539.29 / $539.29	Facility		$391.69	$539.29	$539.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $501.07 / $835.49	Professional		$361.56	$501.07	$835.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.29 / $1,106.32 / $1,491.00	Professional		$804.29	$1,106.32	$1,491.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.09 / $838.21 / $1,224.23	Facility		$556.09	$838.21	$1,224.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.40 / $1,205.51 / $4,671.34	Professional		$563.40	$1,205.51	$4,671.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $861.71 / $1,141.92 / $2,824.47	Facility		$861.71	$1,141.92	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $791.95 / $1,034.95 / $1,420.59	Professional		$791.95	$1,034.95	$1,420.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $539.48 / $765.93 / $1,014.99	Professional		$539.48	$765.93	$1,014.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.17 / $956.03 / $1,487.16	Professional		$498.17	$956.03	$1,487.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $759.80 / $929.70 / $1,232.00	Professional		$759.80	$929.70	$1,232.00