Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.66 / $587.09 / $587.09	Facility		$460.66	$587.09	$587.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.88 / $479.20 / $821.70	Professional		$376.88	$479.20	$821.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.27 / $1,241.69 / $1,560.15	Professional		$899.27	$1,241.69	$1,560.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.53 / $686.27 / $1,285.63	Facility		$400.53	$686.27	$1,285.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.30 / $934.46 / $1,550.16	Professional		$435.30	$934.46	$1,550.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $935.96 / $1,150.58 / $1,665.40	Facility		$935.96	$1,150.58	$1,665.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $841.84 / $1,118.33 / $1,422.53	Professional		$841.84	$1,118.33	$1,422.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $530.46 / $796.39 / $1,038.27	Professional		$530.46	$796.39	$1,038.27
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 $576.80 / $983.64 / $1,406.61	Professional		$576.80	$983.64	$1,406.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.80 / $992.00 / $1,238.00	Professional		$953.80	$992.00	$1,238.00