Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.76 / $210.76 / $210.76	Facility		$210.76	$210.76	$210.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $192.97 / $210.76	Professional		$182.30	$192.97	$210.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.75 / $400.73 / $493.76	Professional		$338.75	$400.73	$493.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.02 / $326.12 / $639.24	Facility		$164.02	$326.12	$639.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $390.43 / $1,248.85	Professional		$193.02	$390.43	$1,248.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.27 / $412.14 / $554.53	Facility		$328.27	$412.14	$554.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $412.14 / $523.66	Professional		$328.27	$412.14	$523.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $321.14 / $492.01	Professional		$225.20	$321.14	$492.01
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 $186.31 / $361.62 / $456.09	Professional		$186.31	$361.62	$456.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $377.70 / $392.80 / $462.10	Professional		$377.70	$392.80	$462.10