Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.32 / $228.54 / $228.54	Facility		$193.32	$228.54	$228.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $193.32 / $529.07	Professional		$142.10	$193.32	$529.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.54 / $506.48 / $659.31	Professional		$343.54	$506.48	$659.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.63 / $331.14 / $490.34	Facility		$238.63	$331.14	$490.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $501.46 / $1,440.00	Professional		$220.50	$501.46	$1,440.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.01 / $428.90 / $528.62	Facility		$230.01	$428.90	$528.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $428.90 / $551.79	Professional		$336.49	$428.90	$551.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $225.01 / $358.93 / $443.13	Professional		$225.01	$358.93	$443.13
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 $194.97 / $384.14 / $608.27	Professional		$194.97	$384.14	$608.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $374.80 / $458.60 / $537.90	Professional		$374.80	$458.60	$537.90