Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $146.97 / $146.97	Facility		$88.87	$146.97	$146.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $101.73 / $249.88	Professional		$81.31	$101.73	$249.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.81 / $269.76 / $436.30	Professional		$215.81	$269.76	$436.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $192.28 / $250.62	Facility		$117.84	$192.28	$250.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $269.22 / $1,142.80	Professional		$114.61	$269.22	$1,142.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $298.24 / $3,894.77	Facility		$170.00	$298.24	$3,894.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $214.19 / $351.25	Professional		$180.00	$214.19	$351.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $165.96 / $292.39	Professional		$132.77	$165.96	$292.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $228.58 / $355.57	Professional		$114.61	$228.58	$355.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.70 / $219.80 / $348.70	Professional		$179.70	$219.80	$348.70