Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $202.82 / $202.82	Facility		$122.82	$202.82	$202.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $175.76 / $253.36	Professional		$122.82	$175.76	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.61 / $363.26 / $589.19	Professional		$278.61	$363.26	$589.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $281.98 / $513.38	Facility		$167.15	$281.98	$513.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $496.95 / $1,515.36	Professional		$181.28	$496.95	$1,515.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.53 / $328.19 / $531.44	Facility		$243.53	$328.19	$531.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $379.84 / $531.44	Professional		$265.00	$379.84	$531.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.72 / $290.82 / $393.96	Professional		$184.72	$290.82	$393.96
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 $181.28 / $366.21 / $569.66	Professional		$181.28	$366.21	$569.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $277.80 / $441.80	Professional		$227.10	$277.80	$441.80