Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.88 / $147.32 / $147.32	Facility		$101.88	$147.32	$147.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $106.07 / $178.28	Professional		$94.51	$106.07	$178.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.13 / $312.61 / $441.17	Professional		$249.13	$312.61	$441.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $193.45 / $264.58	Facility		$135.41	$193.45	$264.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $283.30 / $1,152.96	Professional		$120.72	$283.30	$1,152.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $249.46 / $381.94	Facility		$179.00	$249.46	$381.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $244.89 / $352.76	Professional		$188.00	$244.89	$352.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $187.24 / $296.93	Professional		$142.79	$187.24	$296.93
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 $120.72 / $234.18 / $361.40	Professional		$120.72	$234.18	$361.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $254.60 / $354.10	Professional		$208.00	$254.60	$354.10