Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.73 / $429.62 / $429.62	Facility		$282.73	$429.62	$429.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $382.55 / $662.75	Professional		$267.45	$382.55	$662.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.16 / $813.19 / $1,207.60	Professional		$578.16	$813.19	$1,207.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.46 / $608.94 / $987.28	Facility		$406.46	$608.94	$987.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $989.63 / $3,122.80	Professional		$440.10	$989.63	$3,122.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $654.03 / $973.31 / $3,711.03	Facility		$654.03	$973.31	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.16 / $745.81 / $1,107.24	Professional		$578.16	$745.81	$1,107.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $412.37 / $553.10 / $808.63	Professional		$412.37	$553.10	$808.63
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 $372.72 / $771.62 / $1,200.30	Professional		$372.72	$771.62	$1,200.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $548.70 / $671.30 / $981.50	Professional		$548.70	$671.30	$981.50