Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.48 / $689.70 / $689.70	Facility		$315.48	$689.70	$689.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $578.90 / $968.75	Professional		$305.69	$578.90	$968.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.52 / $1,103.05 / $1,946.78	Professional		$665.52	$1,103.05	$1,946.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $831.59 / $1,501.66	Facility		$456.13	$831.59	$1,501.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.57 / $1,380.43 / $5,049.60	Professional		$634.57	$1,380.43	$5,049.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $748.68 / $1,346.28 / $2,173.59	Facility		$748.68	$1,346.28	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $672.08 / $875.53 / $1,547.77	Professional		$672.08	$875.53	$1,547.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $550.45 / $891.00 / $1,315.79	Professional		$550.45	$891.00	$1,315.79
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $225.33 / $225.33 / $225.33	Professional	AS	$225.33	$225.33	$225.33
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 $607.59 / $1,153.76 / $1,796.96	Professional		$607.59	$1,153.76	$1,796.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $786.00 / $1,597.10	Professional		$642.40	$786.00	$1,597.10