Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.35 / $401.67 / $401.67	Facility		$322.35	$401.67	$401.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $361.47 / $996.87	Professional		$290.17	$361.47	$996.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.30 / $950.50 / $1,194.94	Professional		$760.30	$950.50	$1,194.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $414.94 / $658.13 / $1,076.51	Facility		$414.94	$658.13	$1,076.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.23 / $1,121.31 / $5,914.45	Professional		$501.23	$1,121.31	$5,914.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,038.60 / $8,364.48	Facility		$764.00	$1,038.60	$8,364.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $745.99 / $897.54 / $1,104.85	Professional		$745.99	$897.54	$1,104.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $458.63 / $663.07 / $821.56	Professional		$458.63	$663.07	$821.56
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 $501.23 / $835.38 / $1,171.52	Professional		$501.23	$835.38	$1,171.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $657.80 / $804.80 / $997.20	Professional		$657.80	$804.80	$997.20