Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $975.04 / $3,852.77	Facility		$181.97	$975.04	$3,852.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $280.74 / $412.98	Professional		$203.78	$280.74	$412.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.99 / $577.84 / $734.30	Professional		$454.99	$577.84	$734.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.81 / $370.94 / $672.07	Facility		$241.81	$370.94	$672.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $690.93 / $1,922.80	Professional		$306.89	$690.93	$1,922.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $466.42 / $612.15 / $1,679.79	Facility		$466.42	$612.15	$1,679.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $523.27 / $686.10	Professional		$390.01	$523.27	$686.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.97 / $392.02 / $499.41	Professional		$275.97	$392.02	$499.41
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 $306.89 / $537.08 / $721.87	Professional		$306.89	$537.08	$721.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $467.40 / $595.50	Professional		$382.00	$467.40	$595.50