Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.87 / $321.93 / $321.93	Facility		$139.87	$321.93	$321.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $266.26 / $449.98	Professional		$118.85	$266.26	$449.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $404.16 / $896.94	Professional		$293.82	$404.16	$896.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $390.24 / $737.71	Facility		$200.86	$390.24	$737.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.11 / $694.37 / $2,313.60	Professional		$326.11	$694.37	$2,313.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.06 / $668.84 / $1,123.16	Facility		$338.06	$668.84	$1,123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $448.58 / $793.85	Professional		$298.10	$448.58	$793.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.46 / $402.40 / $594.50	Professional		$205.46	$402.40	$594.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.72 / $548.45 / $871.16	Professional		$268.72	$548.45	$871.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $334.50 / $721.60	Professional		$273.39	$334.50	$721.60