Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $216.67 / $216.67	Facility		$158.90	$216.67	$216.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $198.99 / $444.89	Professional		$147.72	$198.99	$444.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.92 / $486.94 / $651.52	Professional		$378.92	$486.94	$651.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.76 / $335.62 / $463.28	Facility		$217.76	$335.62	$463.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.63 / $371.54 / $2,741.00	Professional		$208.63	$371.54	$2,741.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $522.75 / $2,865.77	Facility		$313.00	$522.75	$2,865.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $387.18 / $539.13	Professional		$304.00	$387.18	$539.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $304.60 / $443.73	Professional		$230.08	$304.60	$443.73
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 $228.09 / $460.12 / $574.34	Professional		$228.09	$460.12	$574.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $403.40 / $530.70	Professional		$329.70	$403.40	$530.70