Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $171.65 / $171.65	Facility		$143.09	$171.65	$171.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $151.18 / $294.64	Professional		$143.09	$151.18	$294.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $416.04 / $520.04	Professional		$320.95	$416.04	$520.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.87 / $268.47 / $379.75	Facility		$177.87	$268.47	$379.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $398.05 / $1,369.84	Professional		$169.88	$398.05	$1,369.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $414.91 / $2,865.77	Facility		$257.00	$414.91	$2,865.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $341.98 / $477.21	Professional		$276.00	$341.98	$477.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.26 / $260.49 / $350.55	Professional		$187.26	$260.49	$350.55
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 $155.72 / $295.13 / $459.09	Professional		$155.72	$295.13	$459.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $361.00 / $421.90	Professional		$295.00	$361.00	$421.90