Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $154.65 / $154.65	Facility		$111.78	$154.65	$154.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $157.02 / $296.17	Professional		$109.60	$157.02	$296.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $331.34 / $455.77	Professional		$197.11	$331.34	$455.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $223.20 / $413.45	Facility		$116.48	$223.20	$413.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $333.33 / $1,184.00	Professional		$177.90	$333.33	$1,184.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.93 / $290.92 / $420.97	Facility		$234.93	$290.92	$420.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $303.26 / $420.97	Professional		$232.42	$303.26	$420.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $231.59 / $303.00	Professional		$161.58	$231.59	$303.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $2,962.56	Facility		$1,643.00	$1,643.00	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $283.88 / $441.59	Professional		$174.60	$283.88	$441.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $281.10 / $373.00	Professional		$229.70	$281.10	$373.00