Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $102.85 / $102.85	Facility		$67.26	$102.85	$102.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $132.84 / $451.23	Professional		$80.42	$132.84	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $211.33 / $324.30	Professional		$169.06	$211.33	$324.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $162.63 / $322.92	Facility		$99.80	$162.63	$322.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $314.23 / $856.96	Professional		$146.44	$314.23	$856.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.38 / $230.00 / $310.97	Facility		$141.38	$230.00	$310.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $230.63 / $310.97	Professional		$176.13	$230.63	$310.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $171.22 / $229.65	Professional		$116.90	$171.22	$229.65
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 $146.44 / $211.05 / $328.30	Professional		$146.44	$211.05	$328.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $186.70 / $273.80	Professional		$152.60	$186.70	$273.80