Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $229.83	Facility		$135.94	$135.94	$229.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $196.60 / $352.84	Professional		$115.16	$196.60	$352.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.91 / $390.52 / $676.84	Professional		$283.91	$390.52	$676.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.62 / $315.54 / $538.67	Facility		$194.62	$315.54	$538.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $497.00 / $1,697.92	Professional		$214.64	$497.00	$1,697.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.04 / $343.50 / $564.55	Facility		$269.04	$343.50	$564.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.66 / $358.82 / $564.55	Professional		$283.66	$358.82	$564.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.01 / $273.73 / $459.30	Professional		$204.01	$273.73	$459.30
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 $200.99 / $435.12 / $606.16	Professional		$200.99	$435.12	$606.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $332.10 / $557.50	Professional		$271.50	$332.10	$557.50