Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $266.13 / $287.27	Professional		$266.13	$266.13	$287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.88 / $643.88 / $804.84	Professional		$643.88	$643.88	$804.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,437.27 / $1,437.27 / $1,437.27	Facility		$1,437.27	$1,437.27	$1,437.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.48 / $269.75 / $494.54	Professional		$258.48	$269.75	$494.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $359.28 / $359.28 / $469.81	Professional		$359.28	$359.28	$469.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $902.85 / $1,172.97 / $1,332.93	Professional		$902.85	$1,172.97	$1,332.93
United Facility/Professional Professional Modifier Low / Median / High Price $269.75 / $420.94 / $633.59	Professional		$269.75	$420.94	$633.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $735.00 / $735.00	Facility		$735.00	$735.00	$735.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $735.00 / $735.00	Professional		$735.00	$735.00	$735.00