Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.20 / $452.96 / $452.96	Facility		$414.20	$452.96	$452.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.51 / $395.47 / $703.78	Professional		$359.51	$395.47	$703.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.44 / $1,037.76 / $1,297.20	Professional		$754.44	$1,037.76	$1,297.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.54 / $688.30 / $1,049.15	Facility		$547.54	$688.30	$1,049.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.70 / $973.09 / $3,337.28	Professional		$443.70	$973.09	$3,337.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $1,016.50 / $1,969.98	Facility		$646.00	$1,016.50	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $898.17 / $1,125.46	Professional		$690.00	$898.17	$1,125.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $455.44 / $702.62 / $888.19	Professional		$455.44	$702.62	$888.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.01 / $770.92 / $1,199.21	Professional		$395.01	$770.92	$1,199.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $811.20 / $992.50 / $1,078.09	Professional		$811.20	$992.50	$1,078.09