Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.24 / $551.24 / $551.24	Facility		$551.24	$551.24	$551.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.69 / $551.24 / $593.88	Professional		$499.69	$551.24	$593.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.31 / $1,323.69 / $1,654.61	Professional		$962.31	$1,323.69	$1,654.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.39 / $931.60 / $1,672.52	Facility		$596.39	$931.60	$1,672.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.86 / $1,158.68 / $4,724.88	Professional		$661.86	$1,158.68	$4,724.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $900.14 / $1,465.18 / $3,960.15	Facility		$900.14	$1,465.18	$3,960.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,345.70 / $1,636.95	Professional		$855.00	$1,345.70	$1,636.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $738.61 / $1,015.35 / $1,196.11	Professional		$738.61	$1,015.35	$1,196.11
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 $637.27 / $1,117.82 / $1,635.93	Professional		$637.27	$1,117.82	$1,635.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,186.59 / $1,451.80 / $1,451.80	Professional		$1,186.59	$1,451.80	$1,451.80