Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.32 / $462.12 / $462.12	Facility		$256.32	$462.12	$462.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $431.54 / $685.59	Professional		$294.64	$431.54	$685.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.58 / $755.73 / $1,291.35	Professional		$604.58	$755.73	$1,291.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.85 / $692.85 / $1,080.54	Facility		$343.85	$692.85	$1,080.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $493.07 / $1,157.04 / $4,764.99	Professional		$493.07	$1,157.04	$4,764.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.84 / $942.36 / $1,679.79	Facility		$643.84	$942.36	$1,679.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.44 / $833.81 / $1,091.29	Professional		$621.44	$833.81	$1,091.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $447.62 / $651.59 / $873.96	Professional		$447.62	$651.59	$873.96
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 $501.36 / $838.04 / $1,303.61	Professional		$501.36	$838.04	$1,303.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $522.40 / $639.20 / $1,060.80	Professional		$522.40	$639.20	$1,060.80