Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.99 / $534.83 / $534.83	Facility		$389.99	$534.83	$534.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.88 / $431.94 / $962.84	Professional		$317.88	$431.94	$962.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $1,053.73 / $1,423.81	Professional		$811.80	$1,053.73	$1,423.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.63 / $729.98 / $1,150.68	Facility		$456.63	$729.98	$1,150.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $522.76 / $1,227.44 / $3,699.76	Professional		$522.76	$1,227.44	$3,699.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $1,135.64 / $2,389.42	Facility		$701.00	$1,135.64	$2,389.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $738.00 / $925.56 / $1,201.47	Professional		$738.00	$925.56	$1,201.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $498.64 / $720.00 / $951.48	Professional		$498.64	$720.00	$951.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $6,486.14	Facility		$2,714.00	$2,714.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $522.76 / $871.26 / $1,291.39	Professional		$522.76	$871.26	$1,291.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $685.90 / $839.20 / $1,118.90	Professional		$685.90	$839.20	$1,118.90