Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.31 / $152.60 / $152.60	Facility		$101.31	$152.60	$152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $141.27 / $180.36	Professional		$94.69	$141.27	$180.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $344.80 / $474.28	Professional		$250.91	$344.80	$474.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $238.75 / $386.08	Facility		$135.41	$238.75	$386.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $417.09 / $1,580.98	Professional		$177.48	$417.09	$1,580.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.49 / $353.94 / $2,896.79	Facility		$253.49	$353.94	$2,896.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $306.61 / $398.35	Professional		$250.91	$306.61	$398.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $237.77 / $308.08	Professional		$161.76	$237.77	$308.08
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 $177.48 / $295.80 / $442.23	Professional		$177.48	$295.80	$442.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $261.50 / $380.30	Professional		$213.70	$261.50	$380.30