Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.29 / $220.20 / $220.20	Facility		$136.29	$220.20	$220.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $216.27 / $306.43	Professional		$132.00	$216.27	$306.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $453.12 / $623.28	Professional		$314.76	$453.12	$623.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $309.64 / $567.39	Facility		$176.44	$309.64	$567.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $569.41 / $1,608.96	Professional		$262.39	$569.41	$1,608.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.58 / $365.89 / $564.44	Facility		$300.58	$365.89	$564.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $403.35 / $564.44	Professional		$271.55	$403.35	$564.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $310.12 / $415.96	Professional		$199.19	$310.12	$415.96
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 $262.39 / $434.74 / $594.91	Professional		$262.39	$434.74	$594.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $318.60 / $496.00	Professional		$260.39	$318.60	$496.00