Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $549.54	Professional		$169.82	$213.80	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $524.81	Professional		$218.78	$407.38	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $467.74	Facility		$169.82	$331.13	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $2,041.74	Professional		$239.88	$380.19	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $457.09	Professional		$331.13	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $537.03	Professional		$363.08	$537.03	$537.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $512.86	Professional		$288.40	$380.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $478.63	Professional		$218.78	$363.08	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63