Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $95.50 / $95.50	Facility		$50.28	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $83.56 / $154.37	Professional		$45.34	$83.56	$154.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $151.91 / $274.63	Professional		$97.88	$151.91	$274.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $127.61 / $275.22	Facility		$65.13	$127.61	$275.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $223.50 / $728.98	Professional		$122.74	$223.50	$728.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $161.63 / $265.13	Facility		$115.72	$161.63	$265.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $171.00 / $261.82	Professional		$115.72	$171.00	$261.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $130.06 / $182.43	Professional		$87.43	$130.06	$182.43
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 $119.23 / $194.56 / $292.35	Professional		$119.23	$194.56	$292.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $124.80 / $221.40	Professional		$102.00	$124.80	$221.40