Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $133.76 / $133.76	Facility		$93.48	$133.76	$133.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $109.54 / $261.42	Professional		$76.34	$109.54	$261.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.57 / $257.26 / $362.28	Professional		$202.57	$257.26	$362.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $185.12 / $323.86	Facility		$109.68	$185.12	$323.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $341.22 / $951.28	Professional		$153.72	$341.22	$951.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.88 / $295.02 / $581.54	Facility		$216.88	$295.02	$581.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $260.56 / $334.78	Professional		$195.77	$260.56	$334.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $182.79 / $245.18	Professional		$127.75	$182.79	$245.18
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 $153.72 / $229.18 / $356.50	Professional		$153.72	$229.18	$356.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $202.80 / $285.80	Professional		$165.80	$202.80	$285.80