Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.31 / $367.31 / $367.31	Facility		$367.31	$367.31	$367.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $367.31 / $367.31	Professional		$261.80	$367.31	$367.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.42 / $709.59 / $886.99	Professional		$453.42	$709.59	$886.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.80 / $442.44 / $1,856.06	Facility		$368.80	$442.44	$1,856.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $351.68 / $586.13	Professional		$199.28	$351.68	$586.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $683.81 / $769.00	Facility		$468.90	$683.81	$769.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $468.90 / $683.81 / $856.35	Professional		$468.90	$683.81	$856.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $941.43 / $1,073.47	Professional		$390.75	$941.43	$1,073.47
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $351.68 / $449.36	Professional		$164.12	$351.68	$449.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $390.75 / $390.75	Professional		$390.75	$390.75	$390.75