Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.10 / $423.10 / $423.10	Facility		$423.10	$423.10	$423.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.87 / $423.10 / $423.10	Professional		$389.87	$423.10	$423.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.80 / $867.14 / $1,083.92	Professional		$817.80	$867.14	$1,083.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.37 / $658.88 / $1,160.33	Facility		$408.37	$658.88	$1,160.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.95 / $846.58 / $2,974.16	Professional		$507.95	$846.58	$2,974.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $841.15 / $986.84 / $1,294.15	Facility		$841.15	$986.84	$1,294.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $760.16 / $952.05 / $1,229.33	Professional		$760.16	$952.05	$1,229.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $535.39 / $703.01 / $801.51	Professional		$535.39	$703.01	$801.51
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 $507.95 / $819.54 / $1,126.44	Professional		$507.95	$819.54	$1,126.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $826.70 / $972.60 / $1,011.50	Professional		$826.70	$972.60	$1,011.50