Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $161.90 / $161.90	Facility		$126.20	$161.90	$161.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $151.22 / $409.52	Professional		$117.82	$151.22	$409.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.87 / $394.42 / $511.28	Professional		$307.87	$394.42	$511.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $255.56 / $463.53	Facility		$168.48	$255.56	$463.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $468.17 / $1,332.40	Professional		$209.50	$468.17	$1,332.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $368.88 / $458.63	Facility		$171.78	$368.88	$458.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $360.87 / $458.63	Professional		$289.00	$360.87	$458.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $273.64 / $349.33	Professional		$189.92	$273.64	$349.33
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 $229.01 / $468.17 / $489.13	Professional		$229.01	$468.17	$489.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $326.30 / $416.50	Professional		$266.70	$326.30	$416.50