Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.08 / $482.08 / $482.08	Facility		$482.08	$482.08	$482.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.30 / $482.08 / $1,528.89	Professional		$448.30	$482.08	$1,528.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.29 / $1,205.27 / $1,506.58	Professional		$1,170.29	$1,205.27	$1,506.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $641.07 / $814.72 / $1,483.36	Facility		$641.07	$814.72	$1,483.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.70 / $1,059.50 / $3,983.12	Professional		$635.70	$1,059.50	$3,983.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $1,394.78 / $4,555.17	Facility		$927.00	$1,394.78	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,170.29 / $1,413.57	Professional		$930.00	$1,170.29	$1,413.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $884.81 / $1,040.22	Professional		$666.00	$884.81	$1,040.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $10,167.24	Facility		$3,143.00	$3,143.00	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $582.73 / $1,064.54 / $1,486.35	Professional		$582.73	$1,064.54	$1,486.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,013.80 / $1,192.70 / $1,240.40	Professional		$1,013.80	$1,192.70	$1,240.40