Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $200.15 / $200.15	Facility		$115.07	$200.15	$200.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $177.75 / $225.23	Professional		$115.07	$177.75	$225.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $358.18 / $598.92	Professional		$282.02	$358.18	$598.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.26 / $284.08 / $557.36	Facility		$148.26	$284.08	$557.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $569.12 / $1,503.20	Professional		$260.08	$569.12	$1,503.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.45 / $326.83 / $549.10	Facility		$270.45	$326.83	$549.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $364.98 / $549.10	Professional		$256.27	$364.98	$549.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $295.17 / $395.90	Professional		$176.04	$295.17	$395.90
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 $238.40 / $404.78 / $594.61	Professional		$238.40	$404.78	$594.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.20 / $286.60 / $480.50	Professional		$234.20	$286.60	$480.50