Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.23 / $492.23 / $492.23	Facility		$492.23	$492.23	$492.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.04 / $492.23 / $492.23	Professional		$454.04	$492.23	$492.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.80 / $1,008.16 / $1,260.19	Professional		$950.80	$1,008.16	$1,260.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.82 / $767.33 / $1,302.35	Facility		$473.82	$767.33	$1,302.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.07 / $941.78 / $3,464.64	Professional		$565.07	$941.78	$3,464.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $944.09 / $1,149.55 / $1,505.83	Facility		$944.09	$1,149.55	$1,505.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $885.26 / $1,100.60 / $1,505.83	Professional		$885.26	$1,100.60	$1,505.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $610.21 / $815.92 / $930.24	Professional		$610.21	$815.92	$930.24
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 $565.07 / $842.80 / $1,311.02	Professional		$565.07	$842.80	$1,311.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $959.50 / $1,128.80 / $1,174.00	Professional		$959.50	$1,128.80	$1,174.00