Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.65 / $134.69 / $134.69	Facility		$108.65	$134.69	$134.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $144.02 / $243.97	Professional		$119.37	$144.02	$243.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $339.69 / $424.61	Professional		$273.45	$339.69	$424.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.84 / $221.39 / $402.27	Facility		$156.84	$221.39	$402.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $399.53 / $3,020.93	Professional		$178.51	$399.53	$3,020.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.11 / $346.46 / $412.88	Facility		$137.11	$346.46	$412.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $325.52 / $412.88	Professional		$262.00	$325.52	$412.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $254.88 / $308.57	Professional		$169.20	$254.88	$308.57
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 $178.51 / $268.33 / $417.42	Professional		$178.51	$268.33	$417.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $303.89 / $367.90	Professional		$248.40	$303.89	$367.90