Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.08 / $508.08 / $508.08	Facility		$508.08	$508.08	$508.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.09 / $508.08 / $1,505.27	Professional		$476.09	$508.08	$1,505.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.43 / $1,262.14 / $1,577.68	Professional		$1,219.43	$1,262.14	$1,577.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.36 / $858.66 / $1,396.13	Facility		$655.36	$858.66	$1,396.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $624.86 / $1,046.88 / $7,983.09	Professional		$624.86	$1,046.88	$7,983.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.87 / $1,384.50 / $1,713.38	Facility		$812.87	$1,384.50	$1,713.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $861.00 / $1,221.23 / $1,485.63	Professional		$861.00	$1,221.23	$1,485.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $667.30 / $907.36 / $1,085.50	Professional		$667.30	$907.36	$1,085.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.86 / $1,093.51 / $1,519.34	Professional		$624.86	$1,093.51	$1,519.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,057.90 / $1,244.59 / $1,294.40	Professional		$1,057.90	$1,244.59	$1,294.40