Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.14 / $364.20 / $364.20	Facility		$194.14	$364.20	$364.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $275.51 / $364.20	Professional		$158.34	$275.51	$364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $523.94 / $950.50	Professional		$395.31	$523.94	$950.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.41 / $318.33 / $802.24	Facility		$169.41	$318.33	$802.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.91 / $591.26 / $1,363.60	Professional		$281.91	$591.26	$1,363.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $426.59 / $619.85 / $1,539.00	Facility		$426.59	$619.85	$1,539.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.59 / $560.16 / $892.33	Professional		$426.59	$560.16	$892.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $403.30 / $628.14	Professional		$253.42	$403.30	$628.14
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 $298.49 / $552.85 / $917.17	Professional		$298.49	$552.85	$917.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $403.50 / $419.60 / $749.00	Professional		$403.50	$419.60	$749.00