Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.96 / $552.96 / $552.96	Facility		$552.96	$552.96	$552.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.99 / $624.89 / $624.89	Professional		$498.99	$624.89	$624.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.82 / $1,312.00 / $1,640.01	Professional		$1,275.82	$1,312.00	$1,640.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.56 / $934.50 / $1,542.62	Facility		$713.56	$934.50	$1,542.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.72 / $1,151.20 / $9,677.00	Professional		$690.72	$1,151.20	$9,677.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $979.00 / $1,519.54 / $3,079.87	Facility		$979.00	$1,519.54	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,275.82 / $1,542.08	Professional		$954.00	$1,275.82	$1,542.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.82 / $963.97 / $1,134.02	Professional		$724.82	$963.97	$1,134.02
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 $690.72 / $1,039.35 / $1,616.78	Professional		$690.72	$1,039.35	$1,616.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,323.50 / $1,376.50	Professional		$1,125.00	$1,323.50	$1,376.50