Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.89 / $429.25 / $429.25	Facility		$267.89	$429.25	$429.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $415.30 / $581.44	Professional		$308.25	$415.30	$581.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.63 / $858.45 / $1,197.86	Professional		$632.63	$858.45	$1,197.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.70 / $644.82 / $977.99	Facility		$346.70	$644.82	$977.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.20 / $1,038.21 / $3,263.76	Professional		$443.20	$1,038.21	$3,263.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $674.18 / $867.63 / $2,896.79	Facility		$674.18	$867.63	$2,896.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $753.02 / $986.93	Professional		$548.61	$753.02	$986.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $410.44 / $607.22 / $814.45	Professional		$410.44	$607.22	$814.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.74 / $746.93 / $1,161.89	Professional		$364.74	$746.93	$1,161.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $546.10 / $668.20 / $988.60	Professional		$546.10	$668.20	$988.60