Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.64 / $663.21 / $663.21	Facility		$489.64	$663.21	$663.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $590.85 / $977.40	Professional		$438.29	$590.85	$977.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,405.30 / $1,874.71	Professional		$1,010.50	$1,405.30	$1,874.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.15 / $834.18 / $1,533.72	Facility		$599.15	$834.18	$1,533.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $613.35 / $1,529.35 / $4,876.64	Professional		$613.35	$1,529.35	$4,876.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,081.51 / $1,423.58 / $3,711.03	Facility		$1,081.51	$1,423.58	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $924.42 / $1,244.06 / $1,729.13	Professional		$924.42	$1,244.06	$1,729.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $655.72 / $961.29 / $1,265.33	Professional		$655.72	$961.29	$1,265.33
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 $728.60 / $1,307.54 / $1,859.26	Professional		$728.60	$1,307.54	$1,859.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.60 / $1,166.80 / $1,535.90	Professional		$953.60	$1,166.80	$1,535.90