Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.29 / $276.20 / $276.20	Facility		$186.29	$276.20	$276.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $258.37 / $456.36	Professional		$175.12	$258.37	$456.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.59 / $550.24 / $805.39	Professional		$423.59	$550.24	$805.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.61 / $374.92 / $727.91	Facility		$239.61	$374.92	$727.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.68 / $643.22 / $2,078.96	Professional		$307.68	$643.22	$2,078.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $299.69 / $456.86 / $741.39	Facility		$299.69	$456.86	$741.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $520.69 / $741.39	Professional		$373.00	$520.69	$741.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $274.72 / $404.17 / $542.10	Professional		$274.72	$404.17	$542.10
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 $307.68 / $506.56 / $787.98	Professional		$307.68	$506.56	$787.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $422.20 / $607.90	Professional		$345.10	$422.20	$607.90