Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.69 / $495.69 / $495.69	Facility		$495.69	$495.69	$495.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.80 / $495.69 / $1,245.58	Professional		$421.80	$495.69	$1,245.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.20 / $1,144.50 / $1,430.62	Professional		$879.20	$1,144.50	$1,430.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $605.91 / $787.73 / $1,332.90	Facility		$605.91	$787.73	$1,332.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $1,004.49 / $6,287.40	Professional		$475.08	$1,004.49	$6,287.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $742.77 / $1,155.74 / $1,627.86	Facility		$742.77	$1,155.74	$1,627.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $742.77 / $1,063.67 / $1,399.77	Professional		$742.77	$1,063.67	$1,399.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $873.24 / $1,027.28	Professional		$615.41	$873.24	$1,027.28
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 $460.76 / $899.77 / $1,399.64	Professional		$460.76	$899.77	$1,399.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,019.10 / $1,246.90 / $1,246.90	Professional		$1,019.10	$1,246.90	$1,246.90