Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.77 / $385.59 / $385.59	Facility		$245.77	$385.59	$385.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.16 / $362.86 / $497.66	Professional		$244.16	$362.86	$497.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.57 / $724.56 / $1,117.03	Professional		$566.57	$724.56	$1,117.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.26 / $563.21 / $1,044.33	Facility		$333.26	$563.21	$1,044.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.20 / $911.09 / $2,910.40	Professional		$379.20	$911.09	$2,910.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $570.13 / $723.27 / $1,061.80	Facility		$570.13	$723.27	$1,061.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $568.41 / $764.02 / $1,061.80	Professional		$568.41	$764.02	$1,061.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $385.07 / $566.70 / $760.11	Professional		$385.07	$566.70	$760.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $146.44 / $146.44 / $146.44	Professional	AS	$146.44	$146.44	$146.44
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.11 / $691.51 / $1,116.42	Professional		$474.11	$691.51	$1,116.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $566.50 / $852.30	Professional		$463.00	$566.50	$852.30