Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $249.80 / $249.80	Facility		$133.85	$249.80	$249.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $213.18 / $381.82	Professional		$124.73	$213.18	$381.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $382.73 / $690.48	Professional		$278.24	$382.73	$690.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.90 / $351.30 / $574.54	Facility		$191.90	$351.30	$574.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $592.41 / $1,880.28	Professional		$254.70	$592.41	$1,880.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $396.82 / $649.77	Facility		$287.08	$396.82	$649.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.88 / $396.82 / $606.50	Professional		$277.88	$396.82	$606.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.88 / $317.87 / $459.95	Professional		$193.88	$317.87	$459.95
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 $225.21 / $463.64 / $721.22	Professional		$225.21	$463.64	$721.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $315.70 / $558.29	Professional		$258.00	$315.70	$558.29