Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.32 / $529.32 / $529.32	Facility		$529.32	$529.32	$529.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.44 / $529.32 / $556.25	Professional		$477.44	$529.32	$556.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.63 / $1,274.60 / $1,593.26	Professional		$926.63	$1,274.60	$1,593.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.16 / $806.87 / $1,384.39	Facility		$547.16	$806.87	$1,384.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.80 / $991.88 / $4,178.39	Professional		$547.80	$991.88	$4,178.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.51 / $1,249.41 / $1,792.63	Facility		$768.51	$1,249.41	$1,792.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $1,140.72 / $1,544.57	Professional		$705.00	$1,140.72	$1,544.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $596.22 / $843.54 / $1,131.43	Professional		$596.22	$843.54	$1,131.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.53 / $987.57 / $1,536.22	Professional		$545.53	$987.57	$1,536.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.40 / $1,373.30 / $1,373.30	Professional		$1,122.40	$1,373.30	$1,373.30