Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.23 / $619.07 / $619.07	Facility		$441.23	$619.07	$619.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $562.39 / $955.18	Professional		$404.60	$562.39	$955.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.29 / $1,267.01 / $1,740.31	Professional		$899.29	$1,267.01	$1,740.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.19 / $819.56 / $1,424.03	Facility		$621.19	$819.56	$1,424.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $586.79 / $1,417.74 / $4,504.56	Professional		$586.79	$1,417.74	$4,504.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,312.94 / $3,711.03	Facility		$933.25	$1,312.94	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $1,147.66 / $1,606.01	Professional		$853.00	$1,147.66	$1,606.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $608.61 / $859.73 / $1,167.01	Professional		$608.61	$859.73	$1,167.01
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 $538.98 / $1,115.09 / $1,734.60	Professional		$538.98	$1,115.09	$1,734.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $852.90 / $1,043.50 / $1,416.50	Professional		$852.90	$1,043.50	$1,416.50