Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.06 / $705.96 / $705.96	Facility		$484.06	$705.96	$705.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.81 / $519.71 / $1,136.26	Professional		$393.81	$519.71	$1,136.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.55 / $1,308.89 / $1,863.02	Professional		$951.55	$1,308.89	$1,863.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.12 / $774.70 / $1,568.13	Facility		$422.12	$774.70	$1,568.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.69 / $1,195.20 / $4,165.00	Professional		$534.69	$1,195.20	$4,165.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $990.54 / $1,374.45 / $1,795.50	Facility		$990.54	$1,374.45	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $990.54 / $1,204.58 / $1,739.03	Professional		$990.54	$1,204.58	$1,739.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $635.24 / $880.43 / $1,239.46	Professional		$635.24	$880.43	$1,239.46
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 $691.96 / $1,130.11 / $1,816.19	Professional		$691.96	$1,130.11	$1,816.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,009.50 / $1,049.80 / $1,477.90	Professional		$1,009.50	$1,049.80	$1,477.90