Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $429.93 / $429.93	Facility		$84.95	$429.93	$429.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $429.93 / $986.09	Professional		$78.22	$429.93	$986.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $779.51 / $1,072.24	Professional		$176.08	$779.51	$1,072.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.11 / $353.92 / $983.34	Facility		$106.11	$353.92	$983.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.51 / $1,184.34 / $2,716.80	Professional		$473.51	$1,184.34	$2,716.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.02 / $581.54 / $1,031.74	Facility		$198.02	$581.54	$1,031.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $682.31 / $1,031.74	Professional		$174.67	$682.31	$1,031.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $382.93 / $707.71	Professional		$115.75	$382.93	$707.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $795.46 / $1,237.38	Professional		$476.88	$795.46	$1,237.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $195.90 / $893.10	Professional		$160.10	$195.90	$893.10