Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $134.09 / $134.09	Facility		$75.63	$134.09	$134.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $138.12 / $221.34	Professional		$103.75	$138.12	$221.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $224.97 / $390.52	Professional		$179.97	$224.97	$390.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $196.43 / $336.34	Facility		$104.49	$196.43	$336.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $256.89 / $1,832.00	Professional		$154.13	$256.89	$1,832.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.13 / $297.00 / $552.88	Facility		$196.13	$297.00	$552.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $254.80 / $353.47	Professional		$174.67	$254.80	$353.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $195.81 / $258.37	Professional		$118.43	$195.81	$258.37
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 $154.13 / $214.90 / $371.39	Professional		$154.13	$214.90	$371.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $188.40 / $318.80	Professional		$154.00	$188.40	$318.80