Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $206.94 / $206.94	Facility		$89.70	$206.94	$206.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $182.58 / $206.94	Professional		$81.84	$182.58	$206.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $297.36 / $599.91	Professional		$173.41	$297.36	$599.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $235.23 / $573.46	Facility		$103.30	$235.23	$573.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $352.21 / $1,560.56	Professional		$196.58	$352.21	$1,560.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.58 / $400.09 / $2,532.54	Facility		$240.58	$400.09	$2,532.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $267.82 / $499.75	Professional		$217.81	$267.82	$499.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $254.16 / $409.49	Professional		$167.17	$254.16	$409.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $387.95 / $522.00	Professional		$196.58	$387.95	$522.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $238.70 / $497.00	Professional		$195.10	$238.70	$497.00