Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.42 / $663.77 / $663.77	Facility		$456.42	$663.77	$663.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.03 / $538.00 / $1,067.70	Professional		$375.03	$538.00	$1,067.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.74 / $1,234.86 / $1,750.05	Professional		$897.74	$1,234.86	$1,750.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.62 / $769.34 / $1,474.12	Facility		$397.62	$769.34	$1,474.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.71 / $1,121.83 / $3,284.00	Professional		$509.71	$1,121.83	$3,284.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.49 / $1,294.15 / $1,795.50	Facility		$934.49	$1,294.15	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $934.49 / $1,170.14 / $1,634.55	Professional		$934.49	$1,170.14	$1,634.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $596.92 / $830.62 / $1,164.42	Professional		$596.92	$830.62	$1,164.42
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 $649.48 / $1,180.88 / $1,688.66	Professional		$649.48	$1,180.88	$1,688.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $952.30 / $990.40 / $1,388.50	Professional		$952.30	$990.40	$1,388.50