Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.54 / $223.54 / $223.54	Facility		$223.54	$223.54	$223.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.21 / $223.54 / $690.29	Professional		$201.21	$223.54	$690.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.46 / $528.23 / $660.29	Professional		$517.46	$528.23	$660.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.73 / $377.78 / $644.08	Facility		$287.73	$377.78	$644.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $475.70 / $1,761.36	Professional		$285.42	$475.70	$1,761.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $422.00 / $621.10 / $3,079.87	Facility		$422.00	$621.10	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $517.46 / $628.11	Professional		$389.00	$517.46	$628.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $400.34 / $459.95	Professional		$299.27	$400.34	$459.95
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 $285.42 / $492.83 / $664.05	Professional		$285.42	$492.83	$664.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $536.79 / $558.29	Professional		$456.30	$536.79	$558.29