Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.16 / $516.29 / $516.29	Facility		$350.16	$516.29	$516.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $460.31 / $516.29	Professional		$316.62	$460.31	$516.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $1,065.42 / $1,534.83	Professional		$619.64	$1,065.42	$1,534.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.10 / $633.62 / $1,200.20	Facility		$366.10	$633.62	$1,200.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.78 / $974.69 / $3,917.92	Professional		$494.78	$974.69	$3,917.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $658.98 / $903.77 / $1,297.60	Facility		$658.98	$903.77	$1,297.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $853.65 / $1,182.57	Professional		$596.00	$853.65	$1,182.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $517.19 / $727.76 / $1,010.44	Professional		$517.19	$727.76	$1,010.44
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 $446.03 / $918.27 / $1,428.42	Professional		$446.03	$918.27	$1,428.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $883.30 / $1,252.40	Professional		$722.00	$883.30	$1,252.40