Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.38 / $579.12 / $579.12	Facility		$413.38	$579.12	$579.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.75 / $488.43 / $1,174.83	Professional		$350.75	$488.43	$1,174.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.04 / $1,182.28 / $1,639.03	Professional		$856.04	$1,182.28	$1,639.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.83 / $828.58 / $1,338.30	Facility		$582.83	$828.58	$1,338.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $643.94 / $1,361.11 / $4,262.24	Professional		$643.94	$1,361.11	$4,262.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $905.26 / $1,285.00 / $3,711.03	Facility		$905.26	$1,285.00	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $856.04 / $1,085.58 / $1,500.85	Professional		$856.04	$1,085.58	$1,500.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.53 / $802.80 / $1,099.08	Professional		$598.53	$802.80	$1,099.08
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 $648.36 / $1,178.83 / $1,685.74	Professional		$648.36	$1,178.83	$1,685.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $796.40 / $974.40 / $1,334.10	Professional		$796.40	$974.40	$1,334.10