Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.76 / $422.14 / $422.14	Facility		$275.76	$422.14	$422.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.46 / $377.15 / $452.88	Professional		$249.46	$377.15	$452.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.50 / $843.38 / $1,266.04	Professional		$490.50	$843.38	$1,266.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.10 / $555.34 / $1,162.29	Facility		$347.10	$555.34	$1,162.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.48 / $940.19 / $3,220.08	Professional		$492.48	$940.19	$3,220.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $951.95 / $5,269.25	Facility		$649.00	$951.95	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $771.03 / $1,163.76	Professional		$593.00	$771.03	$1,163.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $572.51 / $821.53	Professional		$425.35	$572.51	$821.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.06 / $895.42 / $1,263.22	Professional		$466.06	$895.42	$1,263.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $567.90 / $694.90 / $1,027.00	Professional		$567.90	$694.90	$1,027.00