Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $413.75 / $413.75	Facility		$413.75	$413.75	$413.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.95 / $413.75 / $413.75	Professional		$382.95	$413.75	$413.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $847.66 / $1,059.58	Professional		$799.44	$847.66	$1,059.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.20 / $699.24 / $1,100.08	Facility		$402.20	$699.24	$1,100.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.25 / $847.72 / $4,042.84	Professional		$466.25	$847.72	$4,042.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $930.09 / $1,270.17	Facility		$747.00	$930.09	$1,270.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $887.18 / $1,204.58	Professional		$684.00	$887.18	$1,204.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $504.12 / $673.61 / $788.57	Professional		$504.12	$673.61	$788.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.25 / $809.88 / $1,104.46	Professional		$466.25	$809.88	$1,104.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $813.40 / $956.90 / $995.20	Professional		$813.40	$956.90	$995.20