Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $329.61 / $329.61	Facility		$85.09	$329.61	$329.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $274.11 / $379.82	Professional		$77.59	$274.11	$379.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $258.08 / $933.95	Professional		$167.08	$258.08	$933.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.93 / $263.89 / $703.68	Facility		$110.93	$263.89	$703.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $576.91 / $2,421.44	Professional		$297.95	$576.91	$2,421.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.96 / $661.16 / $2,532.54	Facility		$211.96	$661.16	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $373.23 / $782.64	Professional		$187.08	$373.23	$782.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $362.41 / $625.54	Professional		$158.91	$362.41	$625.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $5,484.78	Facility		$2,714.00	$2,714.00	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $306.83 / $521.42 / $875.73	Professional		$306.83	$521.42	$875.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.50 / $226.90 / $759.30	Professional		$185.50	$226.90	$759.30