Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.91 / $540.91 / $540.91	Facility		$540.91	$540.91	$540.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $494.38 / $556.53	Professional		$488.10	$494.38	$556.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.45 / $1,301.88 / $1,627.35	Professional		$946.45	$1,301.88	$1,627.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $561.12 / $838.99 / $1,545.02	Facility		$561.12	$838.99	$1,545.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $594.04 / $1,073.58 / $4,281.28	Professional		$594.04	$1,073.58	$4,281.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $1,418.62 / $3,285.23	Facility		$837.35	$1,418.62	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $739.00 / $1,266.49 / $1,508.14	Professional		$739.00	$1,266.49	$1,508.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $684.78 / $926.00 / $1,159.24	Professional		$684.78	$926.00	$1,159.24
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 $595.42 / $992.03 / $1,543.16	Professional		$595.42	$992.03	$1,543.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,150.00 / $1,407.10 / $1,407.10	Professional		$1,150.00	$1,407.10	$1,407.10