Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.15 / $450.15 / $450.15	Facility		$450.15	$450.15	$450.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.81 / $450.15 / $1,347.37	Professional		$406.81	$450.15	$1,347.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.65 / $1,069.70 / $1,337.13	Professional		$1,035.65	$1,069.70	$1,337.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.92 / $760.75 / $1,245.00	Facility		$572.92	$760.75	$1,245.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.71 / $934.52 / $8,295.00	Professional		$560.71	$934.52	$8,295.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,232.32 / $3,079.87	Facility		$785.00	$1,232.32	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,035.65 / $1,251.43	Professional		$780.00	$1,035.65	$1,251.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $584.27 / $782.51 / $920.54	Professional		$584.27	$782.51	$920.54
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 $560.71 / $942.70 / $1,309.00	Professional		$560.71	$942.70	$1,309.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $913.20 / $1,074.40 / $1,117.30	Professional		$913.20	$1,074.40	$1,117.30