Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.57 / $363.38 / $363.38	Facility		$143.57	$363.38	$363.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $245.00 / $397.94	Professional		$124.85	$245.00	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.24 / $406.11 / $977.77	Professional		$295.24	$406.11	$977.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $393.29 / $672.02	Facility		$204.61	$393.29	$672.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $618.12 / $2,545.28	Professional		$270.16	$618.12	$2,545.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $350.53 / $793.55	Facility		$200.31	$350.53	$793.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $435.89 / $780.15	Professional		$286.38	$435.89	$780.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.87 / $407.08 / $649.49	Professional		$207.87	$407.08	$649.49
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 $290.98 / $633.00 / $853.80	Professional		$290.98	$633.00	$853.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $338.40 / $788.30	Professional		$276.60	$338.40	$788.30