Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.75 / $115.75 / $3,073.00	Facility		$115.75	$115.75	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $115.75 / $374.75	Professional		$108.70	$115.75	$374.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $286.70 / $358.39	Professional		$285.30	$286.70	$358.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $195.62 / $351.12	Facility		$155.44	$195.62	$351.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $262.44 / $1,068.90	Professional		$157.46	$262.44	$1,068.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $345.55 / $2,929.96	Facility		$231.00	$345.55	$2,929.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $285.30 / $347.08	Professional		$227.00	$285.30	$347.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.34 / $219.90 / $253.58	Professional		$161.34	$219.90	$253.58
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 $131.71 / $260.30 / $362.66	Professional		$131.71	$260.30	$362.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $290.70 / $302.39	Professional		$247.10	$290.70	$302.39