Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.40 / $362.40 / $362.40	Facility		$362.40	$362.40	$362.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $513.16 / $1,173.91	Professional		$362.40	$513.16	$1,173.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.22 / $905.31 / $1,131.64	Professional		$899.22	$905.31	$1,131.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.38 / $612.46 / $1,073.28	Facility		$484.38	$612.46	$1,073.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.24 / $816.55 / $3,075.36	Professional		$474.24	$816.55	$3,075.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $614.16 / $1,018.59 / $1,319.19	Facility		$614.16	$1,018.59	$1,319.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $921.70 / $1,152.95	Professional		$655.00	$921.70	$1,152.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $517.22 / $707.72 / $832.56	Professional		$517.22	$707.72	$832.56
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 $474.24 / $721.40 / $1,122.18	Professional		$474.24	$721.40	$1,122.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $811.40 / $954.60 / $992.80	Professional		$811.40	$954.60	$992.80