Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $2,290.00	Facility		$147.79	$147.79	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $147.79 / $517.20	Professional		$138.47	$147.79	$517.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.03 / $373.77 / $462.59	Professional		$370.03	$373.77	$462.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.01 / $249.77 / $467.96	Facility		$198.01	$249.77	$467.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.58 / $345.84 / $1,268.80	Professional		$204.58	$345.84	$1,268.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.07 / $394.25 / $547.47	Facility		$266.07	$394.25	$547.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $388.64 / $478.00	Professional		$284.00	$388.64	$478.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $222.69 / $302.99 / $345.44	Professional		$222.69	$302.99	$345.44
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 $204.58 / $336.49 / $471.07	Professional		$204.58	$336.49	$471.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $336.70 / $396.10 / $411.90	Professional		$336.70	$396.10	$411.90