Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $582.79 / $1,650.71	Facility		$90.08	$582.79	$1,650.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $442.30 / $764.72	Professional		$90.08	$442.30	$764.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $824.11 / $1,416.99	Professional		$169.92	$824.11	$1,416.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.61 / $530.73 / $1,047.60	Facility		$129.61	$530.73	$1,047.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.03 / $919.56 / $3,699.68	Professional		$419.03	$919.56	$3,699.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.06 / $928.36 / $1,640.45	Facility		$204.06	$928.36	$1,640.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $631.40 / $1,280.75	Professional		$189.23	$631.40	$1,280.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $647.76 / $937.36	Professional		$142.97	$647.76	$937.36
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 $419.03 / $845.42 / $1,358.00	Professional		$419.03	$845.42	$1,358.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $212.30 / $1,183.00	Professional		$173.50	$212.30	$1,183.00