Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.72 / $168.56 / $168.56	Facility		$81.72	$168.56	$168.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $133.08 / $168.56	Professional		$81.72	$133.08	$168.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $280.37 / $482.07	Professional		$193.22	$280.37	$482.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $214.17 / $304.94	Facility		$105.71	$214.17	$304.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $325.16 / $1,950.30	Professional		$138.72	$325.16	$1,950.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $178.61 / $242.50 / $418.58	Facility		$178.61	$242.50	$418.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $232.69 / $386.47	Professional		$165.47	$232.69	$386.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $191.47 / $322.66	Professional		$125.40	$191.47	$322.66
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 $134.88 / $266.74 / $414.93	Professional		$134.88	$266.74	$414.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $204.20 / $393.40	Professional		$166.90	$204.20	$393.40