Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.56 / $385.67 / $385.67	Facility		$256.56	$385.67	$385.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.56 / $497.61 / $717.08	Professional		$256.56	$497.61	$717.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.12 / $718.72 / $1,155.68	Professional		$552.12	$718.72	$1,155.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.25 / $641.98 / $1,595.81	Facility		$364.25	$641.98	$1,595.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.45 / $1,633.31 / $4,561.17	Professional		$720.45	$1,633.31	$4,561.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.79 / $1,089.00 / $3,711.03	Facility		$643.79	$1,089.00	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $693.82 / $1,189.84 / $1,633.31	Professional		$693.82	$1,189.84	$1,633.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.85 / $636.05 / $1,181.86	Professional		$371.85	$636.05	$1,181.86
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 $489.42 / $1,272.74 / $1,986.38	Professional		$489.42	$1,272.74	$1,986.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $605.40 / $880.20	Professional		$494.80	$605.40	$880.20