Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.71 / $253.52 / $253.52	Facility		$139.71	$253.52	$253.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $350.45 / $652.04	Professional		$139.71	$350.45	$652.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.05 / $527.84 / $704.11	Professional		$317.05	$527.84	$704.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.77 / $422.14 / $997.39	Facility		$199.77	$422.14	$997.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.78 / $1,035.17 / $2,614.80	Professional		$458.78	$1,035.17	$2,614.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $351.70 / $749.02 / $1,969.98	Facility		$351.70	$749.02	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $373.87 / $749.02 / $1,035.17	Professional		$373.87	$749.02	$1,035.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.51 / $400.88 / $738.01	Professional		$231.51	$400.88	$738.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.65 / $635.04 / $1,253.64	Professional		$243.65	$635.04	$1,253.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $330.60 / $572.40	Professional		$270.20	$330.60	$572.40