Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.16 / $192.35 / $192.35	Facility		$118.16	$192.35	$192.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $178.59 / $246.24	Professional		$118.16	$178.59	$246.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.88 / $350.60 / $560.95	Professional		$254.88	$350.60	$560.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.99 / $274.39 / $490.98	Facility		$161.99	$274.39	$490.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $472.18 / $1,445.12	Professional		$172.36	$472.18	$1,445.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $274.00 / $341.10 / $508.00	Facility		$274.00	$341.10	$508.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $362.44 / $515.45	Professional		$250.49	$362.44	$515.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $279.73 / $375.20	Professional		$190.57	$279.73	$375.20
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.52 / $373.71 / $539.22	Professional		$216.52	$373.71	$539.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $267.70 / $420.70	Professional		$218.80	$267.70	$420.70