Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $165.91 / $165.91	Facility		$35.58	$165.91	$165.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $148.08 / $165.91	Professional		$32.74	$148.08	$165.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $238.45 / $410.00	Professional		$74.01	$238.45	$410.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $134.84 / $405.74	Facility		$46.82	$134.84	$405.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.50 / $436.52 / $1,056.64	Professional		$200.50	$436.52	$1,056.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.92 / $305.00 / $472.08	Facility		$81.92	$305.00	$472.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $265.60 / $408.93	Professional		$72.05	$265.60	$408.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $201.12 / $274.43	Professional		$54.44	$201.12	$274.43
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 $177.86 / $350.87 / $456.06	Professional		$177.86	$350.87	$456.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $80.80 / $340.40	Professional		$66.09	$80.80	$340.40