Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $375.22 / $375.22	Facility		$80.20	$375.22	$375.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $313.58 / $592.41	Professional		$79.20	$313.58	$592.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $232.76 / $1,034.26	Professional		$185.22	$232.76	$1,034.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $448.42 / $1,371.36	Facility		$112.15	$448.42	$1,371.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.54 / $1,165.97 / $2,669.68	Professional		$402.54	$1,165.97	$2,669.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.79 / $807.33 / $1,094.79	Facility		$202.79	$807.33	$1,094.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $671.13 / $1,094.79	Professional		$180.50	$671.13	$1,094.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $377.16 / $705.53	Professional		$119.61	$377.16	$705.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $719.68 / $1,289.20	Professional		$393.88	$719.68	$1,289.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $179.90 / $762.40	Professional		$147.00	$179.90	$762.40