Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.38 / $514.38 / $514.38	Facility		$514.38	$514.38	$514.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.31 / $514.38 / $1,627.26	Professional		$478.31	$514.38	$1,627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.17 / $1,285.52 / $1,606.89	Professional		$1,248.17	$1,285.52	$1,606.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.98 / $869.30 / $1,584.44	Facility		$683.98	$869.30	$1,584.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.66 / $1,126.09 / $5,128.33	Professional		$675.66	$1,126.09	$5,128.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,489.03 / $3,079.87	Facility		$960.00	$1,489.03	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $908.00 / $1,248.17 / $1,509.65	Professional		$908.00	$1,248.17	$1,509.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $708.82 / $943.08 / $1,109.43	Professional		$708.82	$943.08	$1,109.43
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 $738.69 / $1,193.26 / $1,583.68	Professional		$738.69	$1,193.26	$1,583.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,081.20 / $1,272.00 / $1,322.90	Professional		$1,081.20	$1,272.00	$1,322.90