Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $166.27 / $166.27	Facility		$87.55	$166.27	$166.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $145.43 / $279.95	Professional		$87.55	$145.43	$279.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $264.89 / $488.89	Professional		$154.06	$264.89	$488.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $203.14 / $390.34	Facility		$113.51	$203.14	$390.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $314.81 / $1,250.24	Professional		$164.90	$314.81	$1,250.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $277.39 / $415.37	Facility		$205.53	$277.39	$415.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $238.30 / $415.37	Professional		$201.00	$238.30	$415.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $206.84 / $323.29	Professional		$134.56	$206.84	$323.29
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 $164.90 / $282.44 / $439.35	Professional		$164.90	$282.44	$439.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $219.10 / $395.70	Professional		$179.00	$219.10	$395.70