Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $267.30 / $521.24	Facility		$77.76	$267.30	$521.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $187.41 / $573.16	Professional		$71.48	$187.41	$573.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $406.11 / $698.27	Professional		$166.73	$406.11	$698.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $210.81 / $532.11	Facility		$91.05	$210.81	$532.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.87 / $611.20 / $1,799.04	Professional		$263.87	$611.20	$1,799.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.89 / $236.74 / $608.49	Facility		$124.89	$236.74	$608.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $313.36 / $608.49	Professional		$168.84	$313.36	$608.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $335.56 / $467.06	Professional		$127.58	$335.56	$467.06
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 $241.88 / $439.78 / $638.57	Professional		$241.88	$439.78	$638.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $174.90 / $544.40	Professional		$143.00	$174.90	$544.40