Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.83 / $653.57 / $653.57	Facility		$485.83	$653.57	$653.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.66 / $528.79 / $1,440.12	Professional		$396.66	$528.79	$1,440.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.93 / $1,336.16 / $1,774.40	Professional		$1,068.93	$1,336.16	$1,774.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.67 / $893.66 / $1,680.70	Facility		$598.67	$893.66	$1,680.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.75 / $1,683.47 / $4,551.12	Professional		$773.75	$1,683.47	$4,551.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,015.00 / $1,417.22 / $5,105.35	Facility		$1,015.00	$1,417.22	$5,105.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $929.00 / $1,235.82 / $1,634.40	Professional		$929.00	$1,235.82	$1,634.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $628.69 / $909.54 / $1,193.53	Professional		$628.69	$909.54	$1,193.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.75 / $1,130.69 / $1,758.85	Professional		$773.75	$1,130.69	$1,758.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $866.40 / $1,060.09 / $1,391.10	Professional		$866.40	$1,060.09	$1,391.10