Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $164.96 / $164.96	Facility		$69.23	$164.96	$164.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $136.44 / $198.65	Professional		$57.21	$136.44	$198.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $268.47 / $461.62	Professional		$152.69	$268.47	$461.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $164.01 / $419.87	Facility		$81.13	$164.01	$419.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $450.35 / $6,897.85	Professional		$201.52	$450.35	$6,897.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $252.83 / $417.00	Facility		$166.83	$252.83	$417.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $318.44 / $417.00	Professional		$146.30	$318.44	$417.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $227.65 / $294.13	Professional		$110.53	$227.65	$294.13
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 $167.12 / $314.24 / $470.51	Professional		$167.12	$314.24	$470.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $155.00 / $364.10	Professional		$126.70	$155.00	$364.10