Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $312.48 / $312.48	Facility		$134.97	$312.48	$312.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $279.75 / $534.99	Professional		$150.25	$279.75	$534.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.80 / $350.27 / $771.31	Professional		$275.80	$350.27	$771.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $370.20 / $766.52	Facility		$177.63	$370.20	$766.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $814.35 / $2,399.94	Professional		$346.74	$814.35	$2,399.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $673.91 / $887.46	Facility		$314.49	$673.91	$887.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $508.16 / $788.05	Professional		$286.02	$508.16	$788.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.11 / $395.97 / $531.10	Professional		$216.11	$395.97	$531.10
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 $317.85 / $416.93 / $855.76	Professional		$317.85	$416.93	$855.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $320.80 / $670.30	Professional		$262.20	$320.80	$670.30