Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $144.11 / $144.11	Facility		$105.14	$144.11	$144.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $124.85 / $331.97	Professional		$92.84	$124.85	$331.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $314.56 / $415.84	Professional		$231.71	$314.56	$415.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $203.58 / $346.19	Facility		$133.47	$203.58	$346.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $334.78 / $1,072.16	Professional		$124.98	$334.78	$1,072.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $266.77 / $358.72	Facility		$181.65	$266.77	$358.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $269.16 / $363.90	Professional		$214.04	$269.16	$363.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $210.89 / $276.23	Professional		$141.78	$210.89	$276.23
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 $147.30 / $253.39 / $394.16	Professional		$147.30	$253.39	$394.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $236.50 / $309.70	Professional		$193.30	$236.50	$309.70