Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.72 / $2,916.72 / $9,811.26	Facility		$178.72	$2,916.72	$9,811.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $222.76 / $909.90	Professional		$178.72	$222.76	$909.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $447.98 / $559.98	Professional		$434.50	$447.98	$559.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.62 / $302.04 / $549.98	Facility		$237.62	$302.04	$549.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $391.20 / $1,656.00	Professional		$234.72	$391.20	$1,656.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.00 / $516.10 / $1,759.36	Facility		$337.00	$516.10	$1,759.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $434.50 / $524.84	Professional		$344.00	$434.50	$524.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $328.29 / $386.20	Professional		$246.50	$328.29	$386.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $4,097.02	Facility		$2,714.00	$2,714.00	$4,097.02
United Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $391.20 / $549.04	Professional		$234.72	$391.20	$549.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $376.40 / $442.80 / $460.50	Professional		$376.40	$442.80	$460.50