Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.96 / $631.66 / $631.66	Facility		$489.96	$631.66	$631.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $508.41 / $769.60	Professional		$408.01	$508.41	$769.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.46 / $1,322.52 / $1,680.91	Professional		$961.46	$1,322.52	$1,680.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.17 / $735.52 / $1,409.32	Facility		$427.17	$735.52	$1,409.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.01 / $1,070.83 / $1,797.14	Professional		$504.01	$1,070.83	$1,797.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.45 / $1,262.72 / $1,795.50	Facility		$1,001.45	$1,262.72	$1,795.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $966.00 / $1,198.22 / $1,563.69	Professional		$966.00	$1,198.22	$1,563.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $589.98 / $890.13 / $1,122.36	Professional		$589.98	$890.13	$1,122.36
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 $627.20 / $1,046.38 / $1,627.70	Professional		$627.20	$1,046.38	$1,627.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,020.60 / $1,061.40 / $1,338.30	Professional		$1,020.60	$1,061.40	$1,338.30