Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.68 / $467.68 / $467.68	Facility		$467.68	$467.68	$467.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $444.68 / $491.06	Professional		$422.06	$444.68	$491.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.15 / $1,128.14 / $1,410.17	Professional		$820.15	$1,128.14	$1,410.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.50 / $790.38 / $1,315.18	Facility		$505.50	$790.38	$1,315.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.23 / $916.26 / $3,688.64	Professional		$546.23	$916.26	$3,688.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $710.01 / $1,222.09 / $3,328.85	Facility		$710.01	$1,222.09	$3,328.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $710.01 / $1,088.74 / $1,361.92	Professional		$710.01	$1,088.74	$1,361.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $585.66 / $805.21 / $998.81	Professional		$585.66	$805.21	$998.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $5,484.78	Facility		$3,143.00	$3,143.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $546.23 / $872.05 / $1,356.52	Professional		$546.23	$872.05	$1,356.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $990.90 / $1,212.30 / $1,212.30	Professional		$990.90	$1,212.30	$1,212.30