Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.26 / $203.95 / $203.95	Facility		$118.26	$203.95	$203.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $191.88 / $310.12	Professional		$137.49	$191.88	$310.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $369.10 / $634.97	Professional		$295.27	$369.10	$634.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $319.93 / $533.55	Facility		$158.76	$319.93	$533.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.13 / $565.69 / $1,651.20	Professional		$244.13	$565.69	$1,651.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.89 / $406.70 / $561.44	Facility		$296.89	$406.70	$561.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $402.61 / $541.84	Professional		$287.00	$402.61	$541.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $309.94 / $417.11	Professional		$219.71	$309.94	$417.11
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $469.06 / $591.02	Professional		$266.58	$469.06	$591.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $310.89 / $516.00	Professional		$254.10	$310.89	$516.00