Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $261.52 / $1,526.70	Facility		$114.34	$261.52	$1,526.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $114.34 / $261.52	Professional		$96.55	$114.34	$261.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.89 / $327.22 / $719.69	Professional		$237.89	$327.22	$719.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $307.04 / $516.75	Facility		$163.16	$307.04	$516.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $520.69 / $1,874.88	Professional		$282.39	$520.69	$1,874.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $454.15 / $808.19	Facility		$257.64	$454.15	$808.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $365.20 / $580.42	Professional		$226.83	$365.20	$580.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $348.06 / $480.00	Professional		$191.37	$348.06	$480.00
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 $270.86 / $384.10 / $722.51	Professional		$270.86	$384.10	$722.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $273.20 / $582.60	Professional		$223.30	$273.20	$582.60