Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $329.95 / $329.95	Facility		$162.79	$329.95	$329.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $344.63 / $722.26	Professional		$187.75	$344.63	$722.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $499.60 / $982.64	Professional		$399.68	$499.60	$982.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $466.39 / $826.16	Facility		$238.55	$466.39	$826.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.98 / $890.32 / $2,590.32	Professional		$378.98	$890.32	$2,590.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $400.30 / $566.25 / $923.53	Facility		$400.30	$566.25	$923.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $575.00 / $923.53	Professional		$400.30	$575.00	$923.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.45 / $498.70 / $668.89	Professional		$302.45	$498.70	$668.89
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 $378.98 / $617.71 / $960.88	Professional		$378.98	$617.71	$960.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.70 / $424.30 / $797.60	Professional		$346.70	$424.30	$797.60