Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $647.87 / $647.87	Facility		$335.38	$647.87	$647.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $634.98 / $916.56	Professional		$316.82	$634.98	$916.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.52 / $1,120.93 / $2,499.94	Professional		$775.52	$1,120.93	$2,499.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.38 / $931.46 / $1,500.21	Facility		$500.38	$931.46	$1,500.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.85 / $1,336.96 / $6,548.00	Professional		$635.85	$1,336.96	$6,548.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $765.53 / $1,336.96 / $2,173.59	Facility		$765.53	$1,336.96	$2,173.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $721.44 / $932.58 / $1,617.55	Professional		$721.44	$932.58	$1,617.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $622.96 / $893.92 / $1,734.99	Professional		$622.96	$893.92	$1,734.99
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 $700.34 / $1,363.13 / $1,817.50	Professional		$700.34	$1,363.13	$1,817.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $834.30 / $1,020.80 / $2,105.90	Professional		$834.30	$1,020.80	$2,105.90