Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $157.16 / $157.16	Facility		$157.16	$157.16	$157.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $157.16 / $157.16	Professional		$145.86	$157.16	$157.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $322.55 / $403.18	Professional		$304.20	$322.55	$403.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $265.60 / $431.61	Facility		$195.72	$265.60	$431.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $312.47 / $2,622.00	Professional		$175.07	$312.47	$2,622.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $372.62 / $492.23	Facility		$309.00	$372.62	$492.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $342.07 / $433.79	Professional		$283.00	$342.07	$433.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $266.68 / $304.04	Professional		$200.66	$266.68	$304.04
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 $175.07 / $304.77 / $422.46	Professional		$175.07	$304.77	$422.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $368.90 / $383.70	Professional		$313.60	$368.90	$383.70