Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.64 / $400.49 / $400.49	Facility		$259.64	$400.49	$400.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $336.64 / $821.95	Professional		$221.23	$336.64	$821.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $746.96 / $1,126.77	Professional		$543.04	$746.96	$1,126.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.88 / $568.91 / $991.00	Facility		$373.88	$568.91	$991.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.80 / $1,028.51 / $2,917.36	Professional		$433.80	$1,028.51	$2,917.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $647.77 / $913.47 / $3,711.03	Facility		$647.77	$913.47	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $566.96 / $685.92 / $1,035.32	Professional		$566.96	$685.92	$1,035.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.78 / $553.55 / $750.40	Professional		$382.78	$553.55	$750.40
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 $494.56 / $899.20 / $1,268.48	Professional		$494.56	$899.20	$1,268.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $499.90 / $611.70 / $910.80	Professional		$499.90	$611.70	$910.80