Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $378.64 / $378.64	Facility		$80.20	$378.64	$378.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $378.64 / $1,980.90	Professional		$78.73	$378.64	$1,980.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $606.61 / $1,043.02	Professional		$186.20	$606.61	$1,043.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $342.69 / $1,135.42	Facility		$99.52	$342.69	$1,135.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.08 / $1,103.84 / $2,694.24	Professional		$575.08	$1,103.84	$2,694.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.85 / $778.67 / $1,196.13	Facility		$206.85	$778.67	$1,196.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $771.46 / $1,103.84	Professional		$180.50	$771.46	$1,103.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $552.80 / $733.37	Professional		$136.38	$552.80	$733.37
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 $544.76 / $836.62 / $1,301.41	Professional		$544.76	$836.62	$1,301.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $179.90 / $768.90	Professional		$147.00	$179.90	$768.90