Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.83 / $645.57 / $645.57	Facility		$462.83	$645.57	$645.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.73 / $526.12 / $764.10	Professional		$378.73	$526.12	$764.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.41 / $1,242.66 / $1,720.84	Professional		$903.41	$1,242.66	$1,720.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.34 / $752.35 / $1,441.57	Facility		$405.34	$752.35	$1,441.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $519.04 / $1,122.73 / $3,256.48	Professional		$519.04	$1,122.73	$3,256.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $947.59 / $1,296.20 / $1,795.50	Facility		$947.59	$1,296.20	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $947.59 / $1,158.96 / $1,599.72	Professional		$947.59	$1,158.96	$1,599.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $586.78 / $842.26 / $1,152.13	Professional		$586.78	$842.26	$1,152.13
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 $650.00 / $1,076.17 / $1,675.30	Professional		$650.00	$1,076.17	$1,675.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $965.70 / $1,004.30 / $1,373.80	Professional		$965.70	$1,004.30	$1,373.80