Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $240.60 / $240.60	Facility		$155.19	$240.60	$240.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $179.19 / $265.02	Professional		$128.15	$179.19	$265.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.56 / $421.69 / $629.12	Professional		$306.56	$421.69	$629.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.91 / $253.38 / $520.25	Facility		$134.91	$253.38	$520.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $388.98 / $1,088.72	Professional		$186.20	$388.98	$1,088.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $436.95 / $569.11	Facility		$255.87	$436.95	$569.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.04 / $397.99 / $590.89	Professional		$318.04	$397.99	$590.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $285.57 / $417.25	Professional		$199.41	$285.57	$417.25
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 $221.13 / $382.15 / $605.08	Professional		$221.13	$382.15	$605.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $324.10 / $337.10 / $497.50	Professional		$324.10	$337.10	$497.50