Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.45 / $948.78 / $948.78	Facility		$275.45	$948.78	$948.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $424.39 / $1,234.09	Professional		$273.13	$424.39	$1,234.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.74 / $787.94 / $2,298.35	Professional		$568.74	$787.94	$2,298.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.52 / $763.56 / $2,019.30	Facility		$337.52	$763.56	$2,019.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $860.24 / $2,204.33 / $5,987.20	Professional		$860.24	$2,204.33	$5,987.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $629.13 / $1,712.45 / $2,669.56	Facility		$629.13	$1,712.45	$2,669.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $558.95 / $1,502.30 / $2,250.66	Professional		$558.95	$1,502.30	$2,250.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $422.32 / $1,137.26 / $1,525.39	Professional		$422.32	$1,137.26	$1,525.39
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $279.25 / $279.25 / $279.25	Professional	AS	$279.25	$279.25	$279.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.88 / $1,433.74 / $2,303.03	Professional		$436.88	$1,433.74	$2,303.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $627.00 / $1,925.10	Professional		$512.40	$627.00	$1,925.10