Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.30 / $535.92 / $535.92	Facility		$336.30	$535.92	$535.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.17 / $473.70 / $535.92	Professional		$302.17	$473.70	$535.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.19 / $1,014.78 / $1,574.76	Professional		$590.19	$1,014.78	$1,574.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $680.47 / $1,193.10	Facility		$374.64	$680.47	$1,193.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.03 / $996.66 / $4,039.28	Professional		$527.03	$996.66	$4,039.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $705.08 / $1,082.97 / $2,389.42	Facility		$705.08	$1,082.97	$2,389.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.45 / $899.83 / $1,245.05	Professional		$645.45	$899.83	$1,245.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.20 / $687.01 / $1,039.59	Professional		$512.20	$687.01	$1,039.59
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 $512.92 / $958.30 / $1,490.69	Professional		$512.92	$958.30	$1,490.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $681.50 / $833.90 / $1,274.40	Professional		$681.50	$833.90	$1,274.40