Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $166.32 / $166.32	Facility		$136.13	$166.32	$166.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $139.68 / $264.93	Professional		$128.12	$139.68	$264.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $402.79 / $503.49	Professional		$303.02	$402.79	$503.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.92 / $253.14 / $354.47	Facility		$174.92	$253.14	$354.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $299.16 / $1,555.00	Professional		$160.32	$299.16	$1,555.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $399.94 / $2,865.77	Facility		$239.00	$399.94	$2,865.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $327.27 / $455.71	Professional		$254.00	$327.27	$455.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $250.79 / $338.50	Professional		$180.96	$250.79	$338.50
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 $175.53 / $356.19 / $443.55	Professional		$175.53	$356.19	$443.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $340.90 / $408.10	Professional		$278.70	$340.90	$408.10