Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.93 / $677.11 / $677.11	Facility		$483.93	$677.11	$677.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $518.66 / $793.13	Professional		$416.93	$518.66	$793.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $222.95 / $222.95 / $222.95	Professional	50	$222.95	$222.95	$222.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.14 / $1,306.94 / $1,789.01	Professional		$950.14	$1,306.94	$1,789.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.99 / $789.16 / $1,505.25	Facility		$421.99	$789.16	$1,505.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $529.21 / $1,142.28 / $4,005.00	Professional		$529.21	$1,142.28	$4,005.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $989.08 / $1,340.60 / $1,795.50	Facility		$989.08	$1,340.60	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.08 / $1,205.80 / $1,670.58	Professional		$989.08	$1,205.80	$1,670.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $610.35 / $879.14 / $1,191.58	Professional		$610.35	$879.14	$1,191.58
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 $661.32 / $1,117.11 / $1,737.74	Professional		$661.32	$1,117.11	$1,737.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,008.00 / $1,048.30 / $1,420.90	Professional		$1,008.00	$1,048.30	$1,420.90