Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.85 / $365.30 / $365.30	Facility		$273.85	$365.30	$365.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $365.30 / $615.65	Professional		$273.85	$365.30	$615.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.59 / $825.85 / $1,085.86	Professional		$660.59	$825.85	$1,085.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.48 / $546.88 / $1,022.71	Facility		$364.48	$546.88	$1,022.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.66 / $1,029.08 / $2,769.12	Professional		$467.66	$1,029.08	$2,769.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $591.87 / $872.84 / $2,389.42	Facility		$591.87	$872.84	$2,389.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $763.83 / $1,002.08	Professional		$539.00	$763.83	$1,002.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.79 / $558.27 / $727.12	Professional		$382.79	$558.27	$727.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.96 / $691.18 / $1,075.17	Professional		$348.96	$691.18	$1,075.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $553.79 / $677.60 / $882.60	Professional		$553.79	$677.60	$882.60