Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $146.01 / $146.01	Facility		$67.45	$146.01	$146.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $138.40 / $484.16	Professional		$76.34	$138.40	$484.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $232.07 / $434.35	Professional		$167.49	$232.07	$434.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $191.79 / $330.91	Facility		$90.92	$191.79	$330.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $357.48 / $1,138.48	Professional		$151.99	$357.48	$1,138.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.61 / $237.16 / $385.36	Facility		$176.61	$237.16	$385.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $230.47 / $385.36	Professional		$165.22	$230.47	$385.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $206.81 / $292.39	Professional		$109.48	$206.81	$292.39
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 $165.72 / $259.18 / $403.17	Professional		$165.72	$259.18	$403.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $175.10 / $348.70	Professional		$143.10	$175.10	$348.70