Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.61 / $552.77 / $552.77	Facility		$404.61	$552.77	$552.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.29 / $449.88 / $590.29	Professional		$397.29	$449.88	$590.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.02 / $1,123.84 / $1,518.27	Professional		$883.02	$1,123.84	$1,518.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.04 / $760.30 / $1,463.08	Facility		$512.04	$760.30	$1,463.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $673.45 / $1,581.30 / $3,936.22	Professional		$673.45	$1,581.30	$3,936.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $1,238.66 / $5,105.35	Facility		$934.00	$1,238.66	$5,105.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $839.06 / $1,121.86 / $1,381.34	Professional		$839.06	$1,121.86	$1,381.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $529.92 / $765.28 / $1,020.81	Professional		$529.92	$765.28	$1,020.81
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 $672.91 / $1,087.00 / $1,658.10	Professional		$672.91	$1,087.00	$1,658.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $892.00 / $1,189.80	Professional		$729.00	$892.00	$1,189.80