Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.54 / $127.72 / $127.72	Facility		$80.54	$127.72	$127.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $111.06 / $154.27	Professional		$73.90	$111.06	$154.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $239.57 / $369.10	Professional		$183.55	$239.57	$369.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.31 / $180.78 / $327.17	Facility		$109.31	$180.78	$327.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $304.83 / $947.68	Professional		$113.41	$304.83	$947.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $206.59 / $323.58	Facility		$154.13	$206.59	$323.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $235.03 / $323.58	Professional		$170.00	$235.03	$323.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $177.94 / $245.82	Professional		$121.06	$177.94	$245.82
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 $113.41 / $229.34 / $356.75	Professional		$113.41	$229.34	$356.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $182.10 / $275.70	Professional		$148.80	$182.10	$275.70