Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.58 / $372.58 / $372.58	Facility		$372.58	$372.58	$372.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $372.58 / $638.63	Professional		$337.66	$372.58	$638.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $895.19 / $1,118.98	Professional		$650.79	$895.19	$1,118.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $662.68 / $1,073.11	Facility		$402.56	$662.68	$1,073.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.45 / $748.04 / $4,720.07	Professional		$448.45	$748.04	$4,720.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $582.65 / $988.80 / $3,960.15	Facility		$582.65	$988.80	$3,960.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $582.65 / $908.28 / $1,104.68	Professional		$582.65	$908.28	$1,104.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $459.95 / $634.85 / $807.33	Professional		$459.95	$634.85	$807.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $748.04 / $1,105.69	Professional		$427.66	$748.04	$1,105.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $800.90 / $979.90 / $979.90	Professional		$800.90	$979.90	$979.90