Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $253.93 / $487.89	Facility		$101.46	$253.93	$487.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $576.90	Professional		$90.04	$159.55	$576.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $300.93 / $718.72	Professional		$218.77	$300.93	$718.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $269.47 / $595.27	Facility		$136.66	$269.47	$595.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $446.03 / $1,853.36	Professional		$187.02	$446.03	$1,853.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.36 / $326.14 / $613.61	Facility		$234.36	$326.14	$613.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.29 / $322.23 / $577.42	Professional		$201.29	$322.23	$577.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $256.86 / $476.77	Professional		$153.85	$256.86	$476.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $376.49 / $593.15	Professional		$196.25	$376.49	$593.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $231.40 / $534.60	Professional		$189.10	$231.40	$534.60