Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $234.36 / $234.36	Facility		$148.21	$234.36	$234.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $203.16 / $296.56	Professional		$148.21	$203.16	$296.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $439.22 / $683.66	Professional		$322.64	$439.22	$683.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.16 / $336.03 / $598.59	Facility		$203.16	$336.03	$598.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $573.70 / $1,761.36	Professional		$210.75	$573.70	$1,761.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $254.99 / $380.28 / $620.20	Facility		$254.99	$380.28	$620.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $441.58 / $629.29	Professional		$311.00	$441.58	$629.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $341.47 / $458.01	Professional		$232.16	$341.47	$458.01
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 $252.43 / $422.78 / $657.66	Professional		$252.43	$422.78	$657.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $335.90 / $513.60	Professional		$274.50	$335.90	$513.60