Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $223.75 / $223.75	Facility		$148.69	$223.75	$223.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $184.12 / $343.83	Professional		$133.03	$184.12	$343.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.37 / $425.58 / $630.10	Professional		$305.37	$425.58	$630.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $316.88 / $513.75	Facility		$210.08	$316.88	$513.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $469.44 / $1,659.96	Professional		$207.90	$469.44	$1,659.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.37 / $365.94 / $545.65	Facility		$305.37	$365.94	$545.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $305.37 / $386.30 / $545.65	Professional		$305.37	$386.30	$545.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $291.75 / $424.37	Professional		$214.36	$291.75	$424.37
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 $222.52 / $380.21 / $591.44	Professional		$222.52	$380.21	$591.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $354.10 / $515.10	Professional		$289.39	$354.10	$515.10