Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $197.93 / $197.93	Facility		$118.96	$197.93	$197.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $171.01 / $197.93	Professional		$104.51	$171.01	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $352.54 / $572.64	Professional		$256.30	$352.54	$572.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $265.32 / $498.74	Facility		$152.47	$265.32	$498.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $480.80 / $1,475.60	Professional		$176.98	$480.80	$1,475.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.52 / $317.27 / $516.20	Facility		$235.52	$317.27	$516.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $369.56 / $516.20	Professional		$249.00	$369.56	$516.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $179.42 / $276.05 / $383.61	Professional		$179.42	$276.05	$383.61
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 $183.74 / $357.35 / $555.88	Professional		$183.74	$357.35	$555.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $269.80 / $430.20	Professional		$220.50	$269.80	$430.20