Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.87 / $244.87 / $244.87	Facility		$244.87	$244.87	$244.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $203.19 / $244.87	Professional		$174.54	$203.19	$244.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $473.28 / $591.60	Professional		$374.28	$473.28	$591.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.86 / $294.97 / $478.24	Facility		$245.86	$294.97	$478.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $156.30 / $512.66	Professional		$132.86	$156.30	$512.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $437.90 / $557.57	Facility		$312.60	$437.90	$557.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $512.66 / $557.57	Professional		$312.60	$512.66	$557.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $372.52 / $627.62 / $715.65	Professional		$372.52	$627.62	$715.65
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $132.86 / $260.50	Professional		$109.41	$132.86	$260.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $260.50	Professional		$260.50	$260.50	$260.50