Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.75 / $153.97 / $153.97	Facility		$104.75	$153.97	$153.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $134.74 / $153.97	Professional		$91.39	$134.74	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $307.74 / $457.72	Professional		$241.26	$307.74	$457.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $227.71 / $409.51	Facility		$134.74	$227.71	$409.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $386.03 / $1,179.83	Professional		$159.16	$386.03	$1,179.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $270.95 / $415.57	Facility		$151.71	$270.95	$415.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $301.45 / $421.67	Professional		$238.00	$301.45	$421.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $234.88 / $315.04	Professional		$161.63	$234.88	$315.04
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 $169.85 / $281.79 / $438.34	Professional		$169.85	$281.79	$438.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $244.50 / $353.30	Professional		$199.80	$244.50	$353.30