Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $530.25 / $530.25	Facility		$363.80	$530.25	$530.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $476.64 / $819.67	Professional		$331.83	$476.64	$819.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.13 / $1,043.02 / $1,490.03	Professional		$750.13	$1,043.02	$1,490.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $522.85 / $753.05 / $1,220.92	Facility		$522.85	$753.05	$1,220.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $1,212.67 / $3,867.52	Professional		$523.79	$1,212.67	$3,867.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $800.07 / $1,125.90 / $3,711.03	Facility		$800.07	$1,125.90	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $750.13 / $960.79 / $1,382.34	Professional		$750.13	$960.79	$1,382.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $530.04 / $710.94 / $1,000.75	Professional		$530.04	$710.94	$1,000.75
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 $576.74 / $955.57 / $1,486.44	Professional		$576.74	$955.57	$1,486.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.30 / $862.90 / $1,214.70	Professional		$705.30	$862.90	$1,214.70