Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $239.53 / $3,073.00	Facility		$212.14	$239.53	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $222.23 / $501.30	Professional		$197.28	$222.23	$501.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.44 / $550.75 / $688.53	Professional		$400.44	$550.75	$688.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.83 / $373.44 / $616.98	Facility		$291.83	$373.44	$616.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $544.26 / $2,363.21	Professional		$248.40	$544.26	$2,363.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $488.46 / $610.32	Facility		$275.77	$488.46	$610.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $488.46 / $619.27	Professional		$372.00	$488.46	$619.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $279.25 / $386.99 / $461.89	Professional		$279.25	$386.99	$461.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $3,200.82	Facility		$2,714.00	$2,714.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $219.64 / $423.50 / $658.78	Professional		$219.64	$423.50	$658.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $410.10 / $501.70 / $560.60	Professional		$410.10	$501.70	$560.60