Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.51 / $613.51 / $613.51	Facility		$613.51	$613.51	$613.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.30 / $613.51 / $1,000.52	Professional		$502.30	$613.51	$1,000.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.64 / $1,319.02 / $1,648.77	Professional		$1,198.64	$1,319.02	$1,648.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.30 / $721.55 / $1,447.88	Facility		$502.30	$721.55	$1,447.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.41 / $1,013.89 / $1,732.68	Professional		$517.41	$1,013.89	$1,732.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,045.69 / $1,289.60 / $1,742.57	Facility		$1,045.69	$1,289.60	$1,742.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $845.53 / $1,289.60 / $1,521.66	Professional		$845.53	$1,289.60	$1,521.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.65 / $905.11 / $1,104.26	Professional		$598.65	$905.11	$1,104.26
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 $604.70 / $1,041.67 / $1,572.23	Professional		$604.70	$1,041.67	$1,572.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,076.20 / $1,316.70 / $1,316.70	Professional		$1,076.20	$1,316.70	$1,316.70