Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.65 / $341.10 / $618.45	Facility		$110.65	$341.10	$618.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $250.83 / $854.95	Professional		$110.65	$250.83	$854.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $863.76 / $1,485.16	Professional		$216.96	$863.76	$1,485.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $556.45 / $1,285.93	Facility		$158.63	$556.45	$1,285.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.37 / $1,053.34 / $4,525.52	Professional		$461.37	$1,053.34	$4,525.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $979.16 / $1,720.85	Facility		$252.28	$979.16	$1,720.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $883.00 / $1,410.17	Professional		$230.26	$883.00	$1,410.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.77 / $728.89 / $983.29	Professional		$173.77	$728.89	$983.29
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 $688.05 / $1,016.86 / $1,495.54	Professional		$688.05	$1,016.86	$1,495.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $258.00 / $1,240.90	Professional		$210.90	$258.00	$1,240.90