Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.66 / $512.45 / $512.45	Facility		$451.66	$512.45	$512.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.79 / $450.73 / $832.74	Professional		$370.79	$450.73	$832.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.64 / $1,097.75 / $1,372.19	Professional		$794.64	$1,097.75	$1,372.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $370.79 / $602.35 / $1,189.29	Facility		$370.79	$602.35	$1,189.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.05 / $947.76 / $3,165.04	Professional		$407.05	$947.76	$3,165.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $473.80 / $1,032.01 / $1,280.58	Facility		$473.80	$1,032.01	$1,280.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $725.86 / $1,032.01 / $1,268.24	Professional		$725.86	$1,032.01	$1,268.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $771.74 / $917.30	Professional		$483.55	$771.74	$917.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.10 / $861.21 / $1,339.66	Professional		$502.10	$861.21	$1,339.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $975.80 / $1,093.80	Professional		$894.00	$975.80	$1,093.80