Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.16 / $444.39 / $444.39	Facility		$121.16	$444.39	$444.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $389.12 / $444.39	Professional		$110.05	$389.12	$444.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $474.34 / $1,279.67	Professional		$253.79	$474.34	$1,279.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.25 / $400.00 / $1,154.60	Facility		$151.25	$400.00	$1,154.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.36 / $964.89 / $3,275.20	Professional		$509.36	$964.89	$3,275.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.30 / $951.23 / $2,532.54	Facility		$319.30	$951.23	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $682.00 / $1,123.23	Professional		$285.30	$682.00	$1,123.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $551.77 / $845.50	Professional		$215.56	$551.77	$845.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.04 / $781.10 / $1,191.43	Professional		$280.04	$781.10	$1,191.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $307.80 / $1,026.30	Professional		$251.60	$307.80	$1,026.30