Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.90 / $635.09 / $635.09	Facility		$488.90	$635.09	$635.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.46 / $518.20 / $1,029.31	Professional		$400.46	$518.20	$1,029.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.38 / $1,312.78 / $1,691.62	Professional		$954.38	$1,312.78	$1,691.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.38 / $676.78 / $1,419.87	Facility		$427.38	$676.78	$1,419.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.15 / $1,095.64 / $3,430.00	Professional		$490.15	$1,095.64	$3,430.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $994.16 / $1,270.01 / $2,380.56	Facility		$994.16	$1,270.01	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $881.94 / $1,197.32 / $1,569.69	Professional		$881.94	$1,197.32	$1,569.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $576.29 / $883.67 / $1,128.83	Professional		$576.29	$883.67	$1,128.83
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 $572.46 / $1,056.06 / $1,642.76	Professional		$572.46	$1,056.06	$1,642.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,013.20 / $1,053.70 / $1,346.00	Professional		$1,013.20	$1,053.70	$1,346.00